# CORNEL J SHELTON MD LLC

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

## Provider details

- **NPI number:** 1821375049
- **Authorized official:** MR. CORNELL J SHELTON MD (OWNER)
- **Authorized official phone:** (413) 222-5925

## Contact information

- **Practice address:** 157 FLEET ST, PH5, OXON HILL, MD 20745-1586
- **Practice address phone:** (413) 222-5925
- **Mailing address:** 157 FLEET ST, PH5, OXON HILL, MD 20745-1586
- **Mailing address phone:** (413) 222-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0063535 | MD | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011