DR. CAROL SHACKLETON, M.D.
Family Medicine
Active
Individual
NPI: 1629004759
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 16620 (NE) |
Frequently Asked Questions
NPI 1629004759 is the National Provider Identifier for DR. CAROL SHACKLETON, M.D., a Family Medicine provider located in Gothenburg, NE. This NPI was enumerated on June 23, 2006.
DR. CAROL SHACKLETON, M.D. practices at 918 20TH STREET, Gothenburg, NE 69138.
Quick Facts
- NPI
- 1629004759
- Type
- Individual
- Enumerated
- Jun 23, 2006
- Last Updated
- Feb 9, 2012
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