William H Shackelford MD

NPI #1164418067 in Arthur, Illinois

Provider Information

NPI Number: 1164418067
Entity Type: Organization
Organization Name: William H Shackelford MD
Primary Specialty: Family Medicine
Enumeration Date: Sep 26, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 525 N VINE ST
City: Arthur
State: Illinois
ZIP Code: 61911-1137
Phone: (217) 543-3628

Authorized Official

Name: WILLIAM H SHACKELFORD, MD
Title: OWNER
Phone: (217) 543-3628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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