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Individual

DR. GARY RYAN SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6060 PIEDMONT ROW DR S FL 8, CHARLOTTE, NC 28287-3891
(704) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00339
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145WA
BCBS
NC
05
1467581348
NC
05
5907374
NC
05
N0033A
SC
Enumeration date
03/05/2007
Last updated
05/06/2026
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