Individual
DAVID LEE SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7100
(864) 797-7105
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
04/13/2006
Last updated
11/17/2016
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