Gervacio, Sheelah
Gervacio, Sheelah is an individual health care provider with primary practice located at 109 Physicians Drive Suite A, Greer SC 29650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gervacio, Sheelah can be contacted via phone (864) 797-9150.Contact Information
Primary practice address
109 Physicians Drive Suite A
Greer SC 29650
Phone: (864) 797-9150
Fax: (864) 797-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38393 | South Carolina |
Profile Details
| NPI number | 1356725584 |
|---|---|
| LBN Legal business name | Gervacio, Sheelah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2015 |
| Last updated | May 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356725584 | NPPES |
| South Carolina | MEDICAID | 383935 |
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