Individual
HOLLY SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 KING ST, CAMDEN, SC 29020-4720
(803) 432-6902
Mailing address
208 KING ST, CAMDEN, SC 29020-4720
(803) 432-6902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-2667
SC
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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