Individual
DR. DAVID GRANT SHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1430 S CASHUA DR, FLORENCE, SC 29501-6323
(843) 665-9349
Mailing address
PO BOX 8225, HUNTINGTON, WV 25705-0225
(304) 399-0137
(304) 399-0138
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1209
WV
207Q00000X
Family Medicine Physician
81722
SC
208D00000X
General Practice Physician
Primary
81722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000747547
MTN STATE BCBS
WV
05
—
0042380000
—
WV
05
—
0915584
—
OH
01
—
P00133304
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
05/02/2023
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