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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANAVORN DEAUNDRA MCMULLEN, PT

Active Sole Proprietor

SHANAVORN DEAUNDRA MCMULLEN, PT is a Physical Therapy Assistant healthcare provider located in MILLEDGEVILLE, Georgia. NPI 1285873216 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MILLEDGEVILLE, GA

Registration Details

NPI Number
1285873216
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2009 (17.506065143444 yrs)
Last Updated
Feb 15, 2009
License
10972 (NC)
Sole Proprietor
Yes

Practice Information

Address
115 COMMODORE DR NW
MILLEDGEVILLE, GA, 310618211
Browse GA providers · Browse ZIP 31061
Phone
4784575621
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MILLEDGEVILLE, GA

Name Credential NPI
MR. BRADLEY SHAWN ROBERTS P.T. 1295701555
MR. CHRISTOPHER THOMAS ALFORD P.T., SCS, ATC, CSCS 1639145980
MRS. ALLYSON COURTNEY WOOD M.P.T. 1225004567
TERRI J BURNER P.T. 1639139728
DOROTHY SUSAN MAY PT 1396855268
MR. KEITH MARQUETTE MORGAN P.T. 1861588808
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.