Individual
ANGELA JESSUP SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-5838
(843) 792-1414
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4789
SC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
11/15/2024
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