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Organization

SHELBOURNE & ASSOCIATES ORAL AND FACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY W SHELBOURNE DMD (OWNER)
(843) 853-5859
Entity
Organization

Contact information

Practice address
198 RUTLEDGE AVE STE 4, CHARLESTON, SC 29403-5834
(843) 853-5859
(843) 853-5859
Mailing address
198 RUTLEDGE AVE STE 4, CHARLESTON, SC 29403-5834
(843) 853-5859
(843) 853-5861

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3426
SC

Other

Enumeration date
07/25/2017
Last updated
07/21/2022
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