Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 36946 | SC |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36946 | SC |
NPI | 1154734754 |
---|---|
Provider Name | Dr. Sarah Kateri Shea |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2014 |
Last Update Date | 25/07/2018 |