Individual
STEPHEN LEE SHELTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 410, COLUMBIA, SC 29203-6878
(803) 434-3906
(803) 434-4614
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16073
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160738
—
SC
Enumeration date
01/30/2006
Last updated
12/20/2023
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