Individual
MR. MICHAEL LYNN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 LAZY LN, MOUNT CARMEL, TN 37645
(423) 384-5150
(423) 357-5786
Mailing address
PO BOX 1223, CHURCH HILL, TN 37642
(423) 384-5150
(423) 357-5786
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0105343
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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