Individual
SUSAN S SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
321
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511526
—
TN
Enumeration date
05/05/2006
Last updated
10/02/2012
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