Individual
LYLE SHELVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T18399
—
SC
Enumeration date
07/14/2005
Last updated
02/23/2010
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