Organization
SHELTON PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SOUTHALL SHELTON C.P.O (PROSTHETIST/ORTHOTIST)
(910) 520-0163
Entity
Organization
Contact information
Practice address
2800 ASHTON DR, 201, WILMINGTON, NC 28412-2575
(910) 520-0163
Mailing address
617 COLONIAL DR, WILMINGTON, NC 28403-0217
(910) 520-0163
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
12/01/2015
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