Individual
DR. SHEA MATHEW TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 BRUSHY CREEK RD, TAYLORS, SC 29687-4008
(864) 244-3131
(864) 244-3132
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1935
(864) 282-1955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
682
FL
Other
Enumeration date
07/17/2008
Last updated
06/22/2010
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