Individual
JOSEPH B MCSHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
122 OKATIE CENTER BLVD N STE 100, OKATIE, SC 29909-3782
(843) 706-8840
(833) 314-0430
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-7843
(843) 522-5945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1304
SC
207Q00000X
Family Medicine Physician
200600315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972503332
—
NC
05
—
N0031B
—
SC
Enumeration date
07/28/2005
Last updated
06/30/2021
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