Individual
REBECCA WILLIAMS SHOAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 PHYSICIANS DR, GREER, SC 29650-2445
(864) 797-9100
(864) 241-9239
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200300088
NC
208000000X
Pediatrics Physician
Primary
36032
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360326
—
SC
05
—
89137EH
—
NC
Enumeration date
07/20/2006
Last updated
05/12/2021
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