Individual
DR. JAMES WELTON SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 FELTON PL # B, CARTERSVILLE, GA 30120-2152
(770) 382-3536
(770) 382-1915
Mailing address
16 FELTON PL # B, CARTERSVILLE, GA 30120-2152
(770) 382-3536
(770) 382-1915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
09480
IA
1223P0221X
Pediatric Dentistry
1001759
WI
1223P0221X
Pediatric Dentistry
10380
TN
1223P0221X
Pediatric Dentistry
12013092A
IN
1223P0221X
Pediatric Dentistry
2901022957
MI
1223P0221X
Pediatric Dentistry
30.025291
OH
1223P0221X
Pediatric Dentistry
36121
TX
1223P0221X
Pediatric Dentistry
8498
SC
1223P0221X
Pediatric Dentistry
DN011369
GA
1223P0221X
Pediatric Dentistry
DS042563
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00746798B
—
GA
01
—
100517
AVESIS MEDICAID
GA
01
—
9181146
DORAL MEDICAID
GA
Enumeration date
11/30/2006
Last updated
07/20/2021
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