Shelley, Susan Catherine
Shelley, Susan Catherine is an individual health care provider with primary practice located at 318 Memorial Dr , Greer SC 29650-1521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shelley, Susan Catherine can be contacted via phone (864) 879-3883.Contact Information
Primary practice address
318 Memorial Dr
Greer SC 29650-1521
Phone: (864) 879-3883
Fax: (864) 848-3492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29403 | South Carolina |
Profile Details
| NPI number | 1952515603 |
|---|---|
| LBN Legal business name | Shelley, Susan Catherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jun 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952515603 | NPPES |
| South Carolina | MEDICAID | 294032 |
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