Healthcare Provider Details

I. General information

NPI: 1811038318
Provider Name (Legal Business Name): SHATILLIA R MCFARLIN MELVIN BALL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 PACES FERRY RD SE STE 500
ATLANTA GA
30339-5714
US

IV. Provider business mailing address

855 RIVER OVERLOOK DR
LAWRENCEVILLE GA
30043-5381
US

V. Phone/Fax

Practice location:
  • Phone: 770-322-4625
  • Fax:
Mailing address:
  • Phone: 404-655-4615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR009502
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: