Shelton, Pheston Gray
Shelton, Pheston Gray is an individual health care provider with primary practice located at 905 Johns Hopkins Dr , Greenville NC 27834-2056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shelton, Pheston Gray can be contacted via phone (252) 744-1406.Contact Information
Primary practice address
905 Johns Hopkins Dr
Greenville NC 27834-2056
Phone: (252) 744-1406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2009-00479 | North Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2009-00479 | North Carolina |
Profile Details
| NPI number | 1811180607 |
|---|---|
| LBN Legal business name | Shelton, Pheston Gray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Feb 3rd, 2021 - about 4 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 | 1811180607 | NPPES |
| South Carolina | MEDICAID | Q0047Y | |
| South Carolina | Other | 179PE | |
| South Carolina | MEDICAID | 1811180607 |
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