CAROL L SHACKLETON

GOTHENBURG, NE
NPI1629004759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  16620)
Enumeration Date2006-06-23
Last Update Date2012-02-09
Business Address
Dr. CAROL L SHACKLETON M.D.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131
Mailing Address
Dr. CAROL L SHACKLETON M.D.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131