Individual
MR. DAVID SHANE SHERBONDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 LOVETT DR, GREENVILLE, SC 29607-6510
(864) 987-9747
(864) 987-9770
Mailing address
112 LOVETT DR, GREENVILLE, SC 29607-6510
(864) 987-9747
(864) 987-9770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19749
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19749
SC
Other
Enumeration date
07/18/2006
Last updated
11/20/2018
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