MEDICARE: SHALONDRIA TURK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW008965	GA

General Provider Information

NPI Number	:	1568215531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALONDRIA TURK

Provider Business Mailing Address
First Line	:	5829 CAMPBELLTON RD SW STE 104-213
Second Line	:
City	:	SOUTH FULTON
State	:	GA
Zip	:	30331-8037
Country	:	US
Telephone Number	:	404-285-7353
Fax Number	:	404-726-8712

Provider Business Practice Location Address
First Line	:	5829 CAMPBELLTON RD SW STE 104-213
Second Line	:
City	:	SOUTH FULTON
State	:	GA
Zip	:	30331-8037
Country	:	US
Telephone Number	:	404-285-7353
Fax Number	:	404-726-8712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/02/2025

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Directions to “ SHALONDRIA TURK ” Practice Location

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