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NPI Code Detail

MEDICARE: DONALD C SHIELDS M.D., PH.D.

MEDICARE: DONALD C SHIELDS M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician68374MD
2207T00000XNeurological Surgery Physician227465MA

General Provider Information

NPI Number : 1962460907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD C SHIELDS M.D., PH.D.
Provider Business Mailing Address
First Line : 1330 BOILING SPRINGS RD
Second Line : STE 1600
City : SPARTANBURG
State : SC
Zip : 29303-4219
Country : US
Telephone Number : 864-582-6396
Fax Number : 864-582-1608
Provider Business Practice Location Address
First Line : 1330 BOILING SPRINGS RD STE 1600
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-4219
Country : US
Telephone Number : 864-582-6396
Fax Number : 864-582-1608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 05/27/2020

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