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Individual

DR. CORNELL SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PARK HILL DR, FREDERICKSBURG, VA 22401-3387
(703) 978-1196
(703) 978-7762
Mailing address
6035 BURKE CENTRE PKWY STE 390, BURKE, VA 22015-3750
(703) 978-1196
(703) 978-7762

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101251254
VA
208100000X
Physical Medicine & Rehabilitation Physician
80380
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003807538
VA
05
3172970
MA
Enumeration date
11/03/2005
Last updated
10/06/2023
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