Individual
RUFUS WAID SHELTON JR.
Active
Individual
RUFUS WAID SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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