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NPI Code Detail

MEDICARE: MRS. CATHERINE MARIE SHELTON MAPT

MEDICARE: MRS. CATHERINE MARIE SHELTON MAPT
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
1225100000XPhysical Therapist3584SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932178498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE MARIE SHELTON MAPT
Provider Business Mailing Address
First Line : PO BOX 220
Second Line :
City : CHAPIN
State : SC
Zip : 29036-0220
Country : US
Telephone Number : 843-251-2767
Fax Number : 803-932-9618
Provider Business Practice Location Address
First Line : 4871 SOCASTEE BLVD
Second Line : SUITE E
City : MYRTLE BEACH
State : SC
Zip : 29588-7252
Country : US
Telephone Number : 843-293-5610
Fax Number : 843-293-5690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 11/16/2007

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