Individual
DR. COURTNEY D SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 BOULEVARD NE, SUITE 310, ATLANTA, GA 30312-1200
(678) 705-2355
Mailing address
315 BOULEVARD NE, SUITE 310, ATLANTA, GA 30312-1200
(678) 705-2355
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
050559
GA
207R00000X
Internal Medicine Physician
Primary
050559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000930234B
—
GA
Enumeration date
07/10/2005
Last updated
12/14/2016
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