Provider Demographics
NPI:1295438497
Name:SHELTON, HUNTER GABEL (DO)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:GABEL
Last Name:SHELTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:ATRIUM HEALTH WAKE FOREST BAPTIST DEPT. OF PSYCHIATRY
Mailing Address - Street 2:ONE MEDICAL CENTER BOULEVARD
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1087
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ATRIUM HEALTH WAKE FOREST BAPTIST DEPT. OF PSYCHIATRY
Practice Address - Street 2:ONE MEDICAL CENTER BOULEVARD
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1087
Practice Address - Country:US
Practice Address - Phone:336-716-4551
Practice Address - Fax:336-716-9642
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program