Provider Demographics
NPI:1356132534
Name:ESCOBAR-AVILES, SHAKIRA MARIE
Entity type:Individual
Prefix:DR
First Name:SHAKIRA
Middle Name:MARIE
Last Name:ESCOBAR-AVILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 CARMIA DR SW STE 440
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-6253
Mailing Address - Country:US
Mailing Address - Phone:470-275-2984
Mailing Address - Fax:
Practice Address - Street 1:3755 CARMIA DR SW STE 440
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-6253
Practice Address - Country:US
Practice Address - Phone:470-275-2984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor