DR. Carol L Shackleton, M.D.
NPI #1629004759 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1629004759
- Entity Type
- Individual
- Name
- DR. Carol L Shackleton, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Feb 9, 2012
Practice Location
- Address
- 918 20TH STREET
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-1237
- Phone
- (308) 537-7131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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