Individual
SHELLY CHAPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(803) 733-5855
Mailing address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(803) 733-5855
(803) 733-5892
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
SC
Enumeration date
10/28/2020
Last updated
10/28/2020
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