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Individual

DR. BOBBY LEONARD SHELTON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 COMMONWEALTH AVE, WILLIAMSBURG, VA 23185-5229
(757) 585-2200
Mailing address
8553 TERRIOR LANE, NEW KENT, VA 23124
(540) 538-4447

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101240641
VA
207L00000X
Anesthesiology Physician
046246
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010386934
VA
Enumeration date
06/28/2006
Last updated
07/19/2022
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