Individual
LARRY TYLER SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP MSN APRN
Contact information
Practice address
8595 PELHAM RD STE 400, GREENVILLE, SC 29615-5763
(864) 316-8984
(877) 337-6283
Mailing address
8595 PELHAM RD STE 400, GREENVILLE, SC 29615-5763
(864) 316-8984
(877) 337-6283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29158
SC
363LF0000X
Family Nurse Practitioner
GAA-NP002518
GA
Other
Enumeration date
05/28/2024
Last updated
10/08/2025
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