Individual
DR. AUTUMN RUTH SHOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3510 N HIGHWAY 17 STE 215, MT PLEASANT, SC 29466-8229
(843) 606-7020
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82963
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829634
—
SC
Enumeration date
06/20/2013
Last updated
08/20/2025
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