Shelton, Mark Wayne
Shelton, Mark Wayne is an individual health care provider with primary practice located at 393 Wallace Rd Ste 301 , Nashville TN 37211-4834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Shelton, Mark Wayne can be contacted via phone (615) 425-0550.Contact Information
Primary practice address
393 Wallace Rd Ste 301
Nashville TN 37211-4834
Phone: (615) 425-0550
Fax: (615) 833-8287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 024579 | Tennessee |
Profile Details
| NPI number | 1174574214 |
|---|---|
| LBN Legal business name | Shelton, Mark Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Mar 7th, 2024 - about last year |
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 | 1174574214 | NPPES |
| Tennessee | MEDICAID | 3730870 |
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