Individual
DR. DONALD W SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 271-3354
(864) 250-6443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
014859
GA
207W00000X
Ophthalmology Physician
17435
NC
207W00000X
Ophthalmology Physician
Primary
7319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4232678
AETNA PROVIDER NUMBER
SC
05
—
73191
—
SC
Enumeration date
01/28/2006
Last updated
10/22/2007
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