Organization
JOHN E SHIPPEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E SHIPPEY JR. MD (PATHOLOGIST)
(800) 528-3448
Entity
Organization
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(864) 322-4167
Mailing address
PO BOX 1246, ORANGEBURG, SC 29116-1246
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
07619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1036
—
SC
Enumeration date
09/17/2007
Last updated
10/18/2007
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