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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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