Most Relevant Information
Provider Data
| NPI Number: | 1003224791 |
| Provider Name: | ALEX SHELTON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2014 |
| Last Updated: | 07/26/2014 |
Provider Practice Location
921 MOSLEY AVE
WEST POINT
MS
397733272
Practice Location Phone/Fax
| Phone: | 6622751571 |
| Fax: |
Provider Mailing Location
921 MOSLEY AVE
WEST POINT
MS
397733272
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |