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Organization
WILLIAM A SHELTON JR MD
Active
Organization
WILLIAM A SHELTON JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A SHELTON JR. MD (OWNER)
(434) 447-3637
Entity
Organization
Contact information
Practice address
821 W DANVILLE ST, SOUTH HILL, VA 23970-3003
(434) 447-3637
(434) 447-5070
Mailing address
PO BOX 359, SOUTH HILL, VA 23970-0359
(434) 447-3637
(434) 447-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006944
ANTHEM
VA
05
—
890584Y
—
NC
Enumeration date
01/04/2008
Last updated
01/04/2008
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