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Organization

MARK W. SHELTON M.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK W SHELTON M.D. (CHIEF MANAGER)
(816) 832-8186
Entity
Organization

Contact information

Practice address
397 WALLACE RD, STE 414, NASHVILLE, TN 37211-4854
(816) 832-8186
(816) 832-8310
Mailing address
397 WALLACE RD, STE 414, NASHVILLE, TN 37211-4854
(816) 832-8186
(816) 832-8310

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
24579
TN

Other

Enumeration date
06/27/2007
Last updated
08/22/2020
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