Individual
DR. STUART D SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 VALLEYGATE DR, SUITE 103, FAYETTEVILLE, NC 28304-3682
(910) 609-3636
(910) 435-0936
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 439-0936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9600730
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
9600730
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973945
—
NC
Enumeration date
06/01/2005
Last updated
04/29/2013
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