Individual
DR. CARL B SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 PARK CENTRAL DR, 200, COLUMBIA, SC 29203-6469
(803) 252-9907
(803) 252-9906
Mailing address
121 PARK CENTRAL DR, 200, COLUMBIA, SC 29203-6469
(803) 252-9907
(803) 252-9906
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23581
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235819
—
SC
Enumeration date
02/21/2006
Last updated
11/02/2017
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