Individual
DR. MARK WAYNE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
393 WALLACE RD STE 301, NASHVILLE, TN 37211-4834
(615) 425-0550
(615) 833-8287
Mailing address
410 42ND AVE N STE 400, NASHVILLE, TN 37209-3658
(615) 329-7887
(615) 781-3882
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
024579
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730870
—
TN
Enumeration date
05/13/2006
Last updated
03/07/2024
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