Dr. Mark Wayne Shelton
Vascular Surgeon
397 Wallace Rd Suite C414
Nashville
, Tennessee 37211-4854
Dr. Mark Wayne Shelton
Vascular Surgeon
397 Wallace Rd Suite C414
Nashville
, Tennessee 37211-4854
(615) 781-3882
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark Wayne Shelton
- 397 Wallace Rd Suite C-414
- Nashville, TN
- Zip : 37211-4854
- Fax : (615) 781-3882
- Phone : (615) 781-9499
Second Address
- Dr. Mark Wayne Shelton
- 397 Wallace Rd Suite C414
- Nashville, TN
- Zip : 37211-4854
- Fax : (615) 781-3882
- Phone : (615) 781-9499
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 024579 | TN |
National Provider Identifier
| NPI | 1174574214 |
|---|---|
| Provider Name | Dr. Mark Wayne Shelton |
| First Address | Nashville, TN 37211-4854 |
| Second Address | Nashville, TN 37211-4854 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2006 |
| Last Update Date | 16/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3730870 | (05) | TN |
| F83954 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.