Shallcross, David Lee

Shallcross, David Lee is an individual health care provider with primary practice located at 111 Doctors Dr , Greenville SC 29605-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Shallcross, David Lee can be contacted via phone (864) 797-7100.

Contact Information

Primary practice address
111 Doctors Dr Greenville SC 29605-5608
Phone: (864) 797-7100
Fax: (864) 797-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 15001 South Carolina

Profile Details

NPI number 1962466276
LBN Legal business name Shallcross, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 17th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962466276 NPPES
South Carolina MEDICAID APPROVED

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