Individual
THOMAS SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, RN
Contact information
Practice address
705 N 8TH AVE STE 1B, DILLON, SC 29536-2549
(843) 487-1588
(843) 487-1590
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 487-1588
(843) 487-1590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R103177
AR
2255A2300X
Athletic Trainer
AT 277
AR
363LF0000X
Family Nurse Practitioner
125715
AR
363LF0000X
Family Nurse Practitioner
Primary
26521
SC
Other
Enumeration date
08/18/2005
Last updated
09/26/2022
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