Individual
DR. STANLEY W. SHEFTALL,JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3620 E RIVER ST, ANDERSON, SC 29621-7334
(864) 261-3132
Mailing address
272 KELLER RD, HARTWELL, GA 30643-4270
(706) 371-4052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX2891
—
SC
Enumeration date
03/05/2007
Last updated
07/08/2007
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