SHANAVORN DEAUNDRA MCMULLEN

MILLEDGEVILLE, GA
NPI1285873216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  10972)
Enumeration Date2009-02-15
Last Update Date2009-02-15
Business Address
-- SHANAVORN DEAUNDRA MCMULLEN PT
115 COMMODORE DR NW
MILLEDGEVILLE, GA 31061-8211
Phone number: 478-457-5621
Mailing Address
-- SHANAVORN DEAUNDRA MCMULLEN PT
115 COMMODORE DR NW
MILLEDGEVILLE, GA 31061-8211
Phone number: 478-457-5621