| Doctor Name: | DR. WILLIAM JAMES SHEALY |
| NPI Number: | 1659678118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BS, PHARMD, CDE |
| License Number: | |
| Business Practice Address: | 2500 Elms Center Rd North Charleston, SC - 294069844 |
| Business Phone Number: | 8435727727 |
| Business Fax Number: | |
| Mailing Address: | Po Box 118008, NORTH CHARLESTON |
| State: | SC |
| Postal Code: | 294238008 |
| Phone Number: | 8435727727 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2011 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |