Individual
DR. SHELLY CATLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
474 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5545
Mailing address
474 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8232
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-08232
SOUTH CAROLINA CONTROLLED SUBSTANCES REGISTRATION #
SC
05
—
ZX8232
—
SC
Enumeration date
07/06/2013
Last updated
03/07/2023
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