Individual
MR. CHARLES EMERSON SHEFELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
HBPC 171, HAMPTON VAMC, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3392
Mailing address
HBPC 171, HAMPTON VAMC, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3392
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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