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Shane Nelson
NPI 1356628168 · on the registry since 2011 · sole proprietor
Practice
- Address
- 413 Woodfield Dr
Piedmont, SC 29673 - Phone
- (864) 209-0818
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina