Shasteen, Mallory Elizabeth

Shasteen, Mallory Elizabeth is an individual health care provider with primary practice located at 701 Grove Rd Dept Of Emergency Medicine, Greenville SC 29605-4210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Shasteen, Mallory Elizabeth can be contacted via phone (864) 455-7000.

Contact Information

Primary practice address
701 Grove Rd Dept Of Emergency Medicine Greenville SC 29605-4210
Phone: (864) 455-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 39826 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 39826 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39826 South Carolina

Profile Details

NPI number 1174967723
LBN Legal business name Shasteen, Mallory Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Jul 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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