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Jerry Shadbolt, ATC
NPI 1932192671 · on the registry since 2005
Practice
- Address
- 1215 Alice Dr
Sumter, SC 29150 - Phone
- (803) 778-5223
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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