Individual
CHAY N SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7846
(803) 296-9699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2635
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635
SC LICENSE
SC
05
—
2878PA
—
SC
Enumeration date
09/03/2016
Last updated
06/01/2022
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