Individual
THOMAS BERKLEY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 WOLF PARK DR, SUITE 102, GERMANTOWN, TN 38138-1742
(901) 252-3400
(901) 763-4305
Mailing address
1325 WOLF PARK DR, SUITE 103, GERMANTOWN, TN 38138-1742
(901) 252-3411
(901) 763-4305
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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