# SHELTON PROSTHETICS AND ORTHOTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033583653
- **Authorized official:** MR. JOHN SOUTHALL SHELTON C.P.O (PROSTHETIST/ORTHOTIST)
- **Authorized official phone:** (910) 520-0163

## Contact information

- **Practice address:** 2800 ASHTON DR, 201, WILMINGTON, NC 28412-2575
- **Practice address phone:** (910) 520-0163
- **Mailing address:** 617 COLONIAL DR, WILMINGTON, NC 28403-0217
- **Mailing address phone:** (910) 520-0163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | — | — | — |
| 224P00000X | Prosthetist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 12/01/2015