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General NPI Number Information
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NPI Number | 1992022719
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Entity Type | Individual
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Provider Name | ALICIA SHELLY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 8820 HOSPITAL DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2266
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Country | US
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Telephone | 770-947-3000
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Fax | 770-947-3080
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Provider Business Mailing Address
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Address Line | 8820 HOSPITAL DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2266
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Country | US
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Telephone | 770-947-3000
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Fax | 770-947-3080
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 296213
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME137755
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A121267
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 69712
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 69712
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 69712
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101266249
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License Number State | VA
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