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Individual

DR. SHAWN F RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1115 48TH AVE N, SUITE 121, MYRTLE BEACH, SC 29577
(843) 449-6478
(843) 497-8571
Mailing address
3781 HOPSEWEE DR, PLANTATION POINT, MYRTLE BEACH, SC 29577
(843) 444-9224

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17005
SC
207W00000X
Ophthalmology Physician
9300575
NC

Other

Enumeration date
04/27/2006
Last updated
10/31/2007
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