Individual
MARK CHRISTOPHER SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 273-8296
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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