Individual
MARY GRANTHAM SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 PINE TIP RD, TALLAHASSEE, FL 32312-1016
(850) 694-0492
Mailing address
3701 PINE TIP RD, TALLAHASSEE, FL 32312-1016
(850) 694-0492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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