MEDICARE: SHELTON ALLISON JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	21295	MS
2	390200000X	Student in an Organized Health Care Education/Training Program	0116018797	VA
3	2084P0800X	Psychiatry Physician	87152	SC
4	2084N0400X	Neurology Physician	2024-01341	NC

General Provider Information

NPI Number	:	1538377981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELTON ALLISON JR. MD

Provider Business Mailing Address
First Line	:	6100 TOWER CIR
Second Line	:	STE 1000
City	:	FRANKLIN
State	:	TN
Zip	:	37067-1509
Country	:	US
Telephone Number	:	615-721-1231
Fax Number	:	629-255-4574

Provider Business Practice Location Address
First Line	:	10620 PARK RD STE 208
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-0106
Country	:	US
Telephone Number	:	704-360-3637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	06/18/2024

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