Individual
RUTH S SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599
Mailing address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
29093
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0617
—
SC
Enumeration date
06/03/2006
Last updated
03/04/2014
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