Shealy, Gerald J

Shealy, Gerald J is an individual health care provider with primary practice located at 1483 Tobias Gadson Blvd Ste 202, Charleston SC 29407-8702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Shealy, Gerald J can be contacted via phone (843) 763-3916.

Contact Information

Primary practice address
1483 Tobias Gadson Blvd Ste 202 Charleston SC 29407-8702
Phone: (843) 763-3916
Fax: (843) 763-4198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 6700 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6700 South Carolina

Profile Details

NPI number 1952324063
LBN Legal business name Shealy, Gerald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 20th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952324063 NPPES
South Carolina MEDICAID 067000

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