Shillito, Judy A

Shillito, Judy A is an individual health care provider with primary practice located at 631 Johnnie Dodds Blvd , Mt Pleasant SC 29464-3030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shillito, Judy A can be contacted via phone (843) 881-0815.

Contact Information

Primary practice address
631 Johnnie Dodds Blvd Mt Pleasant SC 29464-3030
Phone: (843) 881-0815
Fax: (843) 881-0743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13527 South Carolina

Profile Details

NPI number 1942267216
LBN Legal business name Shillito, Judy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 16th, 2009 - about 15 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 1942267216 NPPES
South Carolina MEDICAID 135277

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