DILLETA ANDREE SHACKELFORD

VALDOSTA, GA
NPI1811209208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: GA  RN080625)
Enumeration Date2010-07-14
Last Update Date2010-07-14
Business Address
-- DILLETA ANDREE SHACKELFORD APRN
520 GRIFFIN AVE
VALDOSTA, GA 31601-6331
Phone number: 229-249-6302
Mailing Address
-- DILLETA ANDREE SHACKELFORD APRN
520 GRIFFIN AVE
VALDOSTA, GA 31601-6331
Phone number: 229-249-6302