Dr Shelton August Viola, MD | |
100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | |
(910) 450-4136 | |
(910) 450-4558 |
Full Name | Dr Shelton August Viola |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598811788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 63172 (Tennessee) | Secondary |
208000000X | Pediatrics | 0101244501 (Virginia) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
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Dr Shelton August Viola, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Dr Shelton August Viola, MD 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4136 |
Samuel J Tuluri, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3905 | |
Timothy Marc Wilks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Kaitlyn Brooks Mosteller, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4500 | |
Rachel Anne Neubert, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
John Sidney Moree, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4161 | |
Rhaiannon Kent, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4500 Fax: 910-450-4783 | |
Dr. Joseph Andersen Mcbreen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4558 |