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Ashanti Shanklin
NPI 1669038147 · on the registry since 2019 · sole proprietor
Practice
- Address
- 612 Juniper Ln
Macon, GA 31220 - Phone
- (478) 501-5198
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-10
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