Individual
LINDSAY SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4812 NATIONAL DR, MYRTLE BEACH, SC 29579-7211
(843) 602-2073
Mailing address
4812 NATIONAL DR, MYRTLE BEACH, SC 29579-7211
(843) 602-2073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
101780472
SC
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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