Shelley, Traci
Shelley, Traci is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shelley, Traci can be contacted via phone (843) 347-5060.Contact Information
Primary practice address
164 Waccamaw Medical Park Dr
Conway SC 29526-8903
Phone: (843) 347-5060
Fax: (843) 347-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10101 | South Carolina |
Profile Details
| NPI number | 1861946824 |
|---|---|
| LBN Legal business name | Shelley, Traci |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2016 |
| Last updated | Aug 8th, 2016 - about 8 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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