DR. Mark Vance Shelton, M.D.

NPI #1548251036 in Winnfield, Louisiana

Provider Information

NPI Number: 1548251036
Entity Type: Individual
Name: DR. Mark Vance Shelton, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 2, 2005
Last Updated: Jan 3, 2011

Practice Location

Address: 106 W BOUNDARY AVE
City: Winnfield
State: Louisiana
ZIP Code: 71483-2760
Phone: (318) 628-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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