Individual
DR. MALLORY ELIZABETH SHASTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39826
SC
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
39826
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
39826
SC
2080S0010X
Pediatric Sports Medicine Physician
39826
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2013
Last updated
01/20/2026
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