Provider Demographics
NPI:1285777896
Name:SHECKLETON, GEORGE F (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:F
Last Name:SHECKLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:F
Other - Last Name:SHECKLETON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1810 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0602
Mailing Address - Country:US
Mailing Address - Phone:406-698-4501
Mailing Address - Fax:406-252-1322
Practice Address - Street 1:1810 MULBERRY DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0602
Practice Address - Country:US
Practice Address - Phone:406-698-4501
Practice Address - Fax:406-252-1322
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3780207QA0401X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine