Individual
DR. NEAL L. SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 PINE STREET, VARNVILLE, SC 29944-0969
(803) 943-5228
(803) 943-4591
Mailing address
1000 PINE ST, VARNVILLE, SC 29944-0969
(803) 943-5228
(803) 943-4591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9844
SC
208M00000X
Hospitalist Physician
9844
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098441
—
SC
01
—
570669239
GROUP INSURANCE
SC
05
—
GP0365
—
SC
05
—
RHC013
—
SC
Enumeration date
07/22/2005
Last updated
04/01/2013
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