Organization
CORNELL J SHELTON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELL SHELTON (DOCTOR)
(413) 222-5925
Entity
Organization
Contact information
Practice address
10401 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-8606
(540) 741-3786
Mailing address
5746 UNION MILL RD # 157, CLIFTON, VA 20124-1088
(703) 272-7444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251254
MD LICENSE
VA
Enumeration date
11/07/2017
Last updated
11/14/2023
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