Individual
LINDA SMITH SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 NE MEDICAL PARK, SUITE 212, COLUMBIA, SC 29223-6251
(803) 736-0731
(803) 736-0753
Mailing address
3000 NE MEDICAL PARK, SUITE 212, COLUMBIA, SC 29223-6251
(803) 736-0731
(803) 736-0753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3830
SC
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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