Individual
CLAYTON JOEL SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 SE MAIN ST STE 120, SIMPSONVILLE, SC 29681-3248
(864) 454-6700
(864) 454-6705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29001
SC
207RP1001X
Pulmonary Disease Physician
Primary
29001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290018
—
SC
Enumeration date
10/23/2006
Last updated
12/10/2025
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