Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | D57343 | MD |
NPI | 1043390586 |
---|---|
Provider Name | Dr. Shelley S Magill |
First Address | Atlanta, GA 30306-2305 |
Second Address | Atlanta, GA 30333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H89310 | (02) | MD |