Shivani Shivkumar Mallishery

NPI 1396506192 · on the registry since 2024

Practice

Address: 3999 Austell Rd Ste 211
Austell, GA 30106
Phone: (770) 732-3364
Organisation at this address: 100 Chiro Kountz
Reliable Pharmacy
Wellstreet Of Georgia Pc
Wellstreet Of Georgia Pc
B.Dean Mobley, O.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-18

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