Individual
MARY ALICE SHELTON PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16244 BENNETT RD, CULPEPER, VA 22701-4630
(540) 825-5381
(540) 829-0945
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101267325
VA
Other
Enumeration date
05/09/2013
Last updated
08/02/2021
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