Most Relevant Information
Provider Data
| NPI Number: | 1003580184 |
| Provider Name: | CREG SHELTON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
410 31ST ST
HUNTINGTON
WV
257021420
Practice Location Phone/Fax
| Phone: | 6818885852 |
| Fax: |
Provider Mailing Location
410 31ST ST
HUNTINGTON
WV
257021420
Provider Mailing Phone/Fax
| Phone: | 6818885852 |
| Fax: |