Shelton, Courtney D
Shelton, Courtney D is an sole proprietor health care provider with primary practice located at 315 Boulevard Ne Suite 310, Atlanta GA 30312-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shelton, Courtney D can be contacted via phone (678) 705-2355.Contact Information
Primary practice address
315 Boulevard Ne Suite 310
Atlanta GA 30312-1200
Phone: (678) 705-2355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 050559 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 050559 | Georgia |
Profile Details
| NPI number | 1609874023 |
|---|---|
| LBN Legal business name | Shelton, Courtney D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2005 |
| Last updated | Dec 14th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609874023 | NPPES |
| Georgia | MEDICAID | 000930234B |
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