Mcmullen, Shanavorn Deaundra
Mcmullen, Shanavorn Deaundra is an sole proprietor health care provider with primary practice located at 115 Commodore Dr Nw , Milledgeville GA 31061-8211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mcmullen, Shanavorn Deaundra can be contacted via phone (478) 457-5621.Contact Information
Primary practice address
115 Commodore Dr Nw
Milledgeville GA 31061-8211
Phone: (478) 457-5621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10972 | North Carolina |
Profile Details
| NPI number | 1285873216 |
|---|---|
| LBN Legal business name | Mcmullen, Shanavorn Deaundra |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2009 |
| Last updated | Feb 15th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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