Individual
MRS. KAREN R SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNBC
Contact information
Practice address
1409 DEVINE ST, COLUMBIA, SC 29208-0001
(803) 777-3658
(803) 777-0126
Mailing address
100 CHADDORK CT, LEXINGTON, SC 29072-7972
(803) 957-4611
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
R46983
SC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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