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Individual

JOHN S SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2800 ASHTON DR STE 201, WILMINGTON, NC 28412-2486
(910) 218-2240
(910) 399-5523
Mailing address
2800 ASHTON DR STE 201, WILMINGTON, NC 28412-2486
(910) 218-2240
(910) 399-5523

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0428P
BLUECROSSBLUESHIELDNC
NC
05
7705351
NC
Enumeration date
01/16/2007
Last updated
04/26/2023
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