NPI
Thomas Ryan Shealy
NPI 1104372788
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2016-09-01
- Last updated
- 2025-10-07
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Specialties
Licenses
- License TX
- 32677
Location
- Practice location
- 4323 Champion Hill St
- City
- Columbia SC
- Postal code
- 29207-6022
- Phone
- (803) 751-0677
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Columbia, SC. 14,676 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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