Individual
MR. CARLTON BROOKS SHEALY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
420 PAVILION PASS, AIKEN, SC 29803
(803) 257-0894
Mailing address
725 RIDING RIDGE CT, AIKEN, SC 29801-0686
(803) 257-0894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237093
SC
163WC0400X
Case Management Registered Nurse
237093
SC
163WH0200X
Home Health Registered Nurse
237093
SC
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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