Charlotte L Shackelford, PAC

NPI #1366601015 in Purcell, Oklahoma

Provider Information

NPI Number: 1366601015
Entity Type: Individual
Name: Charlotte L Shackelford, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 7, 2008
Last Updated: Jul 18, 2011

Practice Location

Address: 1401 N 4TH AVE
Address 2: SUITE 201
City: Purcell
State: Oklahoma
ZIP Code: 73080-1806
Phone: (405) 527-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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