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Individual

MRS. SHELLEY MAHAFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8311 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1249
(864) 560-9600
(864) 560-9613
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22775
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7864275
AETNA
SC
01
B0641
MEDCOST
SC
05
T69770
SC
Enumeration date
01/25/2006
Last updated
02/04/2021
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