Jonathan Richard Shelton PA

NPI 1063859544 - Physician Assistant - 363A00000X

NPI Details
NPI 1063859544
Gender Male
Enumeration Date 05/24/2013
Last Updated 02/29/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
16000 JOHNSTON MEMORIAL DRIVE, SUITE 100
ABINGDON PHYSICIAN PARTNERS - BROSM-1
ABINGDON VA, 24211, US
Phone (276) 258-1760
Fax (276) 258-1765
Business Location
509 MED TECH PKWY
SUITE 100
JOHNSON CITY TN, 37604-2578, US
Phone (423) 952-2132
Fax (276) 258-1765
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110004242
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According to our database, Mr. Jonathan Richard Shelton PA NPI is 1063859544, taxonomy code is 363A00000X and license number is 0110004242, license state is located at Virginia. Jonathan Richard Shelton PA physically located at 16000 Johnston Memorial Drive, Suite 100, Abingdon VA, 24211. NPI Number Jonathan Richard Shelton PA has the Individual type.

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1063859544 NPI number is provided on an as is basis without warranty of any kind. 1063859544 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Richard Shelton PA are for informational purposes only.