| Shivani Shivkumar Mallishery, | |
|
3999 Austell Rd Ste 211, Austell, GA 30106-1144 | |
| (770) 732-3364 | |
| Not Available |
| Full Name | Shivani Shivkumar Mallishery |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 3999 Austell Rd Ste 211, Austell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396506192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN123318 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Shivkumar Mallishery, 3999 Austell Rd, Austell, GA 30106-1100 Ph: (770) 732-3364 | Shivani Shivkumar Mallishery, 3999 Austell Rd Ste 211, Austell, GA 30106-1144 Ph: (770) 732-3364 |
Martin Boeckh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3845 Medical Park Dr, Austell, GA 30106 Phone: 770-739-2100 Fax: 850-837-2042 | |
Mohammed Dameri, Dentist Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd Ste 2, Austell, GA 30106 Phone: 770-800-5500 | |
Oluwatoyin Abosede Oresanya, Dentist Medicare: Medicare Enrolled Practice Location: 1680 E West Connector Ste 112, Austell, GA 30106 Phone: 770-742-6330 | |
Dr. Travis Shaw Watson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1599 Mulkey Rd, Austell, GA 30106 Phone: 770-941-6979 Fax: 770-732-6292 | |
Dr. Chante Marshaun Parker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1680 E West Connector Ste 112, Austell, GA 30106 Phone: 770-742-6330 | |
Dr. Arlita D Jackson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1790 Mulkey Rd, Bldg 4, Austell, GA 30106 Phone: 770-739-4400 Fax: 770-739-9077 | |
Jon H Haynes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite F, Austell, GA 30106 Phone: 770-941-8185 Fax: 770-941-8185 |