Individual
MR. TERENCE LEE SHELNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
(304) 699-2142
Mailing address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-9137
WV
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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