Shupe, Lilly Marie

Shupe, Lilly Marie is an individual health care provider with primary practice located at 487 Winn Way Ste 100 , Decatur GA 30030-1700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Shupe, Lilly Marie can be contacted via phone (404) 251-2090.

Contact Information

Primary practice address
487 Winn Way Ste 100 Decatur GA 30030-1700
Phone: (404) 251-2090
Fax: (404) 251-4471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 24-0912 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT004124 Georgia

Profile Details

NPI number 1134006182
LBN Legal business name Shupe, Lilly Marie
Credentials ATC, LAT, OTC, OT-SC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2025
Last updated Aug 20th, 2025 - about last year

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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