Individual
ASHTON SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
120 W CHURCH ST, STE.E, BATESBURG-LEESVILLE, SC 29006-2107
(803) 532-2208
(803) 604-0207
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19618
SC
Other
Enumeration date
07/30/2015
Last updated
11/17/2015
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