LARRY TYLER SHEALY

GRANITEVILLE, SC
NPI1699515809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: SC  29158)
Additional Taxonomies163W00000X Registered Nurse
(Licence: GA  RN266557)
163W00000X Registered Nurse
(Licence: SC  269039)
Enumeration Date2024-05-28
Last Update Date2024-08-05
Business Address
DR. LARRY TYLER SHEALY DNP MSN APRN
626 WADE WAY
GRANITEVILLE, SC 29829-4124
Phone number: 803-645-4339
Mailing Address
DR. LARRY TYLER SHEALY DNP MSN APRN
626 WADE WAY
GRANITEVILLE, SC 29829-4124
Phone number: 803-645-4339
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