Individual
DR. PHESTON GRAY SHELTON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2009-00479
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2009-00479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179PE
BCBSNC
NC
05
—
1811180607
—
NC
05
—
Q0047Y
—
SC
Enumeration date
08/24/2007
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us