| Michelle A. Shelton, Md, Llc | |
|
5146 Stage Rd Ste 101 Bartlett TN 38134-3139 | |
| (901) 377-3475 | |
| (901) 377-8068 |
| Full Name | Michelle A. Shelton, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5146 Stage Rd Ste 101, Bartlett, Tennessee |
| Authorized Official Name and Position | Michelle Alexander Shelton (CEO) |
| Authorized Official Contact | 9013773475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A. Shelton, Md, Llc 5146 Stage Rd Ste 101 Bartlett TN 38134-3139 Ph: (901) 377-3475 | Michelle A. Shelton, Md, Llc 5146 Stage Rd Ste 101 Bartlett TN 38134-3139 Ph: (901) 377-3475 |
| NPI Number | 1033437868 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/04/2010 |
| Medicare PECOS PAC ID | 0042348757 |
|---|---|
| Medicare Enrollment ID | O20100517000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033437868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle A Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124074489 PECOS PAC ID: 2264527613 Enrollment ID: I20071001000663 |
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