Individual
BONNIE LEE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 DUMBARTON RD, RICHMOND, VA 23228-6014
(804) 874-7949
Mailing address
2300 DUMBARTON RD, RICHMOND, VA 23228-6014
(804) 874-7949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101038405
VA
Other
Enumeration date
09/23/2013
Last updated
11/05/2013
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