William H Shackelford MD

NPI #1326034232 in Cerro Gordo, Illinois

Provider Information

NPI Number: 1326034232
Entity Type: Organization
Organization Name: William H Shackelford MD
Primary Specialty: Family Medicine
Enumeration Date: Sep 26, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 208 S JACKSON ST
City: Cerro Gordo
State: Illinois
ZIP Code: 62501
Phone: (217) 763-5851

Authorized Official

Name: WILLIAM H SHACKELFORD, MD
Title: OWNER
Phone: (217) 763-5851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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