Mallory Shillinger
Internist General Practice Physician
120 Hawthorne Park
Athens
, Georgia 30606-2147
Mallory Shillinger
Internist General Practice Physician
120 Hawthorne Park
Athens
, Georgia 30606-2147
(706) 369-5440
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About
Features
Specialties
- Internist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mallory Shillinger
- Po Box 117264
- Atlanta, GA
- Zip : 30368-7264
- Phone : (706) 369-5440
Second Address
- Mallory Shillinger
- 120 Hawthorne Park
- Athens, GA
- Zip : 30606-2147
- Phone : (706) 353-8700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 84754 | GA |
| Y | 111NI0900X | Internist | 84754 | GA |
| N | 208D00000X | General Practice Physician | 208D00000X | FL |
National Provider Identifier
| NPI | 1023466570 |
|---|---|
| Provider Name | Mallory Shillinger |
| First Address | Atlanta, GA 30368-7264 |
| Second Address | Athens, GA 30606-2147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2016 |
| Last Update Date | 20/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.