Individual
MS. CAROLINE ALTMAN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
140 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-5678
Mailing address
1002 6TH AVE, CONWAY, SC 29526-4359
(843) 433-1238
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26648
SC
363LP2300X
Primary Care Nurse Practitioner
26648
SC
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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