Individual
DR. SHELAILA N VILLAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1023 CREEKSIDE MEDICAL DR, YORK, SC 29745-8624
(803) 684-3738
(803) 684-3808
Mailing address
1023 CREEKSIDE MEDICAL DR, YORK, SC 29745-8624
(803) 684-3738
(803) 684-3808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0738
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007389
—
SC
Enumeration date
07/09/2005
Last updated
06/20/2014
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