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MR. THOMAS DAVID SHELBURNE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
610 COLUMBIANA DR, COLUMBIA, SC 29212-0728
(803) 902-6568
(803) 902-6570
Mailing address
610 COLUMBIANA DR, COLUMBIA, SC 29212-0728
(803) 902-6568

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5178
SC

Other

Enumeration date
12/05/2023
Last updated
02/11/2025
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