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Individual

MICHAEL EUGENE SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
(865) 679-0415
Mailing address
1501 SUNRISE DR, MARYVILLE, TN 37803-5637
(865) 679-0415

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
115702
TN

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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