William H Shackelford MD
William H Shackelford MD is a Family Medicine Physician in Cerro Gordo, Illinois. Registered with an NPI since 2005.
- In the registry since
- 2005
Practice location Address checks out
208 S Jackson StCerro Gordo, IL 62501
Phone: (217) 763-5851
Fax: (217) 763-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1326034232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Shackelford — Owner · (217) 763-5851 |
| Other names | Shackelford Clinic |
| NPI enumerated | September 26, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 20, Cerro Gordo, IL 61818-0020 |