CAROL SHACKLETON, M.D., P.C.

GOTHENBURG, NE
NPI1194803619
Entity TypeOrganization
Authorized ContactCAROL SHACKLETON
Owner
308-537-7131
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  16620)
Enumeration Date2006-11-01
Last Update Date2012-02-09
Business Address
CAROL SHACKLETON, M.D., P.C.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131
Mailing Address
CAROL SHACKLETON, M.D., P.C.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131
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