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Ms. Jasmine Donesha Shackelford, MD
Family Medicine Physician in Thomaston, Georgia
NPI 1629606264

Jasmine Donesha Shackelford is a Family Medicine Physician based in Thomaston, GA. Jasmine Donesha Shackelford practices in Thomaston, GA and has the professional credentials of MD. The NPI Number for Jasmine Donesha Shackelford is 1629606264 and holds a License No. (Georgia).

The current practice location address for Jasmine Donesha Shackelford is 915 W Gordon St, Thomaston, GA and can be reached out via phone at 706-647-7009.

Location: 915 W Gordon St, Thomaston, GA, 30286-3427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629606264
Provider Name
Jasmine Donesha Shackelford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
915 W Gordon St, Thomaston, GA, 30286-3427
Phone Number
706-647-7009
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 W Gordon St
City
Thomaston
State
Georgia
Zip
30286-3427
Phone Number
706-647-7009
Fax Number
person
Provider Business Mailing Address Details
Address
915 W Gordon St
City
Thomaston
State
Georgia
Zip
30286-3427
Phone Number
706-647-7009
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
95589 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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