Dr. Mallory Elizabeth Shasteen
Emergency Physician Family Doctor - Sports Medicine
701 Grove Rd Dept Of Emergency Medicine
Greenville
, South Carolina 29605-4210
Dr. Mallory Elizabeth Shasteen
Emergency Physician Family Doctor - Sports Medicine
701 Grove Rd Dept Of Emergency Medicine
Greenville
, South Carolina 29605-4210
(864) 522-2286
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About
Features
Specialties
- Emergency Physician
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Mallory Elizabeth Shasteen
- 300 E Mcbee Ave Ste 401
- Greenville, SC
- Zip : 29601-2899
- Phone : (864) 522-2286
Second Address
- Dr. Mallory Elizabeth Shasteen
- 701 Grove Rd Dept Of Emergency Medicine
- Greenville, SC
- Zip : 29605-4210
- Phone : (864) 455-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 39826 | SC |
| N | 207QS0010X | Family Doctor - Sports Medicine | 39826 | SC |
National Provider Identifier
| NPI | 1174967723 |
|---|---|
| Provider Name | Dr. Mallory Elizabeth Shasteen |
| First Address | Greenville, SC 29601-2899 |
| Second Address | Greenville, SC 29605-4210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2013 |
| Last Update Date | 16/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.