| Doctor Name: | DAVID C SHORTER |
| NPI Number: | 1003145798 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | REV. |
| License Number: | |
| Business Practice Address: | 312 E 1st Ave Suite B Easley, SC - 296403064 |
| Business Phone Number: | 8648501777 |
| Business Fax Number: | |
| Mailing Address: | 312 E 1st Ave, Suite B EASLEY |
| State: | SC |
| Postal Code: | 296403064 |
| Phone Number: | 8648501777 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |