Judith D Shackelford is a Certified Registered Nurse Anesthetist based in Charleston, WV. Judith D Shackelford practices in Fairmont, WV and has the professional credentials of CRNA. The NPI Number for Judith D Shackelford is 1447347117 and holds a License No. 18137 (West Virginia).
The current practice location address for Judith D Shackelford is Fairmont General Hospital, Fairmont, WV and can be reached out via phone at 304-367-7267 and via fax at 304-367-7503. You can also correspond with Judith D Shackelford through the mailing address at PO BOX 11302, CHARLESTON, WV - 25339-1302 (mailing address contact number: 304-346-9400).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001907661 | 01 | WV | MSBCBS |
| 001721190 | 01 | WV | MTN. STATE BLUE CROSS |
| 0066583000 | 05 | WV | |
| 3810006746 | 05 | WV | |
| DF0767 | 01 | WV | RR MEDICARE |
| 205542387 | 01 | WV | AAP TRI CARE |
| P00377021 | 01 | WV | RR MEDICARE |
| 0166583000 | 05 | WV | |
| 20554238700 | 01 | WV | WORKERS COMP |
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