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Kelley Shaw
NPI 1750634226 · on the registry since 2012
Practice
- Address
- 10 Patewood Dr Ste 130
Greenville, SC 29615 - Phone
- (864) 522-5550
- Fax
- (864) 455-4540
- Clinicians at this address
- 42
Additional practice sites
- 200 Mcgee Rd, Anderson, SC
- 117 Commons Way, Greenville, SC
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-07
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