Search › Georgia › 363LF0000X
Shalundrah Mcintire
NPI 1326588104 · on the registry since 2017
Practice
- Address
- 4475 W Village Pkwy
Ellenwood, GA 30294 - Phone
- (770) 507-7950
- Fax
- (716) 710-8082
- Organisation at this address
- Wellstreet Of Georgia Pc
Fairview Urgent Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 4192 Salem Rd, Covington, GA
- 2200 Highway 155 N Ste 100, Mcdonough, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia