Individual
MRS. SHELA BETH HIPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1827, 59 BLACKSTOCK RD, INMAN, SC 29349
(864) 472-2028
Mailing address
241 N HAMLET CT, MOORE, SC 29369-8964
(864) 541-6769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22164
SC
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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