Individual
JERRI LYNN SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 AMICKS FERRY RD., CHAPIN, SC 29036
(803) 932-2200
(803) 932-2225
Mailing address
119 AMICKS FERRY RD, CHAPIN, SC 29036-8370
(803) 932-2200
(803) 932-2225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188040
—
SC
Enumeration date
08/25/2006
Last updated
01/06/2012
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