Individual
SHELLY D OZARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35087
SC
2084N0400X
Neurology Physician
LP01480
RI
2084V0102X
Vascular Neurology Physician
66161
GA
Other
Enumeration date
06/23/2008
Last updated
11/04/2020
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