Individual
JONAH SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 522-5220
Mailing address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL94526
SC
Other
Enumeration date
04/02/2025
Last updated
07/24/2025
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