Individual
RICHARD RUSSELL SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4095 S LEE ST, BUFORD, GA 30518-3647
(770) 932-8519
(770) 533-4798
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 718-1122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754157M
—
GA
05
—
000754157N
—
GA
05
—
000754157P
—
GA
05
—
000754157Q
—
GA
05
—
000754157R
—
GA
01
—
10032982
AMERIGROUP
GA
01
—
1939869
UNITED HEALTHCARE
GA
01
—
2276934
AETNA HMO
GA
01
—
302567
WELLCARE
GA
01
—
302571
WELLCARE
GA
01
—
302587
WELLCARE
GA
01
—
302588
WELLCARE
GA
01
—
52684584
BCBS
GA
01
—
5402578
AETNA PPO
GA
01
—
8238671
CIGNA
GA
Enumeration date
01/23/2006
Last updated
02/04/2026
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