Individual
DR. THOMAS AUSTIN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
5564 LITTLE DEBBIE PKWY # 114, COLLEGE DALE, TN 37363-4356
(423) 602-9545
Mailing address
4799 ROCKY RIVER RD, CHATTANOOGA, TN 37416-3139
(706) 847-1323
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
215180
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
30906
TN
363LP0200X
Pediatric Nurse Practitioner
AP61251613
WA
Other
Enumeration date
12/14/2021
Last updated
09/29/2022
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