Individual
JOCELYN SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
1775 M H JACKSON SERVICE RD, ATLANTA, GA 30354-3743
(404) 714-3420
Mailing address
1288 MERRIMACK DR, DAVENPORT, FL 33837-4153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4228
FL
2255A2300X
Athletic Trainer
AT003323
GA
Other
Enumeration date
07/07/2015
Last updated
10/09/2018
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