# CHRISTOPHER SHELBY M D A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1962418301
- **Authorized official:** MRS. CHRISTINE LYNN SEBASTIAN (BILLING MANAGER)
- **Authorized official phone:** (318) 872-0747

## Contact information

- **Practice address:** 126 JEFFERSON ST, MANSFIELD, LA 71052-2602
- **Practice address phone:** (318) 872-0747
- **Mailing address:** PO BOX 958, MANSFIELD, LA 71052-0958
- **Mailing address phone:** (318) 872-0747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | LA | — |
| 207W00000X | Ophthalmology Physician | 025412 | LA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 05/28/2008