# ANN MARGARET SHALLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063463743
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 27335 | SC | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 08/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2144092 | CIGNA ID | SC |
| 05 | — | 273359 | — | SC |
| 01 | — | 4123835 | AETNA ID | SC |
| 01 | — | 576007863057 | BLUECHOICE HEALTHPLAN ID | SC |
| 01 | — | 576007863095 | BCBS OF SC ID | SC |
| 01 | — | P00160236 | RR MEDICARE | SC |