Individual
SHELLY MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 RIVER ST STE B, HIAWASSEE, GA 30546
(706) 896-7102
(706) 896-7141
Mailing address
120 RIVER ST STE B, HIAWASSEE, GA 30546-3252
(706) 896-7102
(706) 896-7141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101239278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982632428
—
VA
Enumeration date
06/30/2006
Last updated
12/26/2018
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