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Individual

SCOTT W SHELFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(770) 343-7692
Mailing address
204 SMOKERISE TRCE, PEACHTREE CITY, GA 30269-1378
(770) 862-1226

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
043479
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000758788C
GA
01
340013925
RAILROAD MEDICARE
GA
Enumeration date
09/07/2006
Last updated
03/07/2023
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