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Individual
DR. ROGER D SHEALY
Active
Individual
DR. ROGER D SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S 7246
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072469
—
SC
Enumeration date
07/12/2006
Last updated
11/04/2011
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