Organization
JENNIFER POLLOCK SHANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER POLLOCK SHANKLE (OWNER)
(678) 373-7333
Entity
Organization
Contact information
Practice address
203 GLEN HEATHER, PEACHTREE CITY, GA 30269-2782
(678) 373-7333
Mailing address
203 GLEN HEATHER, PEACHTREE CITY, GA 30269-2782
(678) 373-7333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002826
GA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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