Individual
SCOTT A SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4692 BROWNSBORO RD, PHYSICIANS ELDERCARE, PA, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Mailing address
4692 BROWNSBORO RD, PHYSICIANS ELDERCARE, PA, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200100779
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
200100779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10063298
AMERIGROUP
GA
01
—
145026
BCBS
GA
01
—
374872
WELLCARE
GA
05
—
503998724A
—
GA
01
—
CN0368
RR MEDICARE GROUP
GA
01
—
HOSP60
MEDICARE GROUP
GA
01
—
P00345272
RR MEDICARE
GA
Enumeration date
06/14/2006
Last updated
05/05/2022
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