Michael Shea, MD
Family Medicine in Florence, SC. Individual provider (NPI-1).
NPI number1164050373
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1164050373
- Entity type
- Individual (NPI-1)
- Name
- Michael Shea
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | LL84345 | SC | Yes |
Practice location
555 E Cheves StFlorence, SC 29506-2617
Phone 843-777-2800
Mailing address
555 E Cheves StFlorence, SC 29506-2617
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