CHARLOTTE SHACKELFORD, PAC
Physician Assistant
Active
Individual
NPI: 1366601015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 746 (OK) |
Frequently Asked Questions
NPI 1366601015 is the National Provider Identifier for CHARLOTTE SHACKELFORD, PAC, a Physician Assistant provider located in Purcell, OK. This NPI was enumerated on June 7, 2008.
CHARLOTTE SHACKELFORD, PAC practices at 1401 N 4TH AVE, SUITE 201, Purcell, OK 73080.
Quick Facts
- NPI
- 1366601015
- Type
- Individual
- Enumerated
- Jun 7, 2008
- Last Updated
- Jul 18, 2011
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