Carol Shackleton, M.d., P.c.

NPI #1194803619 in Gothenburg, Nebraska

Provider Information

NPI Number
1194803619
Entity Type
Organization
Organization Name
Carol Shackleton, M.d., P.c.
Primary Specialty
Family Medicine
Enumeration Date
Nov 1, 2006
Last Updated
Feb 9, 2012

Practice Location

Address
918 20TH STREET
ZIP Code
69138-1237
Phone
(308) 537-7131

Authorized Official

Name
CAROL SHACKLETON, M.D.
Title
OWNER
Phone
(308) 537-7131

Specialties & Taxonomy Codes

Specialty
Family Medicine

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