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Shameka Gullatt
NPI 1699216259 · on the registry since 2017
Practice
- Address
- 4749 Nelson Brogdon Blvd
Bld 100 Suite 4
Buford, GA 30518 - Phone
- (470) 769-0054
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 173C00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-15
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