Most Relevant Information
Provider Data
| NPI Number: | 1003807538 |
| Provider Name: | CORNELL SHELTON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 0101251254 |
Most Important Dates
| Enumeration Date: | 11/03/2005 |
| Last Updated: | 10/06/2023 |
Provider Practice Location
300 PARK HILL DR
FREDERICKSBURG
VA
224013387
Practice Location Phone/Fax
| Phone: | 7039781196 |
| Fax: | 7039787762 |
Provider Mailing Location
6035 BURKE CENTRE PKWY STE 390
BURKE
VA
220153750
Provider Mailing Phone/Fax
| Phone: | 7039781196 |
| Fax: | 7039787762 |