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Jill Shallenberger

NPI 1417787730 · on the registry since 2024

Practice

Address
1727 Mars Hill Rd Nw
Acworth, GA 30101
Phone
(770) 218-2426
Organisation at this address
Vision One Inc
Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-02

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