Individual
GINNY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8356 BELL CREEK RD, MECHANICSVILLE, VA 23116-3813
(804) 559-5437
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101261689
VA
208000000X
Pediatrics Physician
Primary
MD60788955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093262
—
WA
Enumeration date
04/23/2014
Last updated
02/26/2018
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