Individual
SHEA BIELBY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
(864) 242-2250
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
39472
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
39472
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/19/2016
Last updated
02/08/2023
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