Individual
RUFUS WAID SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6646
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000096441
—
AL
01
—
04350568
MISSISSIPPI MEDICAID
MS
01
—
290012935
RR MEDICARE
AL
01
—
96441
BCBS
AL
Enumeration date
08/09/2006
Last updated
07/13/2011
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