Whalio Doctors

NPI 1265792204

Judi L. Shakula, DPM

Practitioner Podiatrist Smyrna, GA

Practice location

Address
3969 S. Cobb Dr. STE. 102, Smyrna, GA 30080-6358
Phone
(770) 319-5502
Fax
(770) 434-9010
Mailing address
900 Circle 75 Pkwy. STE. 900, Atlanta, GA 30339-3084

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POD000581 (GA)

Registry record

NPI
1265792204
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2012
Record last updated
24 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.