Individual ProviderMallory ShillingerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address120 Hawthorne Park, Athens, GA 30606-2147(706) 353-8700(706) 369-5440PECOS EnrollmentBased on the most recent information from CMS, provider Mallory Shillinger is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023466570Provider TypeIndividualFull NameShillinger, MalloryCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date5/25/2016Last Updated10/20/2020Contact InformationPractice LocationPractice Address120 Hawthorne Park, Athens, GA 30606-2147Phone(706) 353-8700FaxUnlisted FaxMailing LocationMailing AddressPO Box 117264, Atlanta, GA 30368-7264Phone(706) 369-5440FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense84754GeorgiaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense208D00000XFlorida