Individual
THOMAS BERKLEY SHELTON
Active
Individual
THOMAS BERKLEY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
11619
MS
208800000X
Urology Physician
Primary
14342
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100720
BLUE CROSS
TN
01
—
02110025100
QUAL CHOICE
—
01
—
12940660
PHCS
—
01
—
211159
SOUTHERN HEALTH SERVICES
—
05
—
3021792
—
TN
01
—
381926
HEALTH LINK
—
01
—
4666085
AETNA
—
01
—
7299460
CIGNA
—
01
—
747572
FIRST HEALTH
—
01
—
89422
BLUE CROSS AR
—
Enumeration date
05/02/2006
Last updated
02/05/2013
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