Individual
DR. MARK VANCE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 W BOUNDARY AVE, WINNFIELD, LA 71483-2760
(318) 628-4123
(318) 628-4125
Mailing address
PO BOX 1355, WINNFIELD, LA 71483-1355
(318) 628-4123
(318) 628-4125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R005223
LA
Other
Enumeration date
11/02/2005
Last updated
01/03/2011
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