Provider Demographics
NPI:1770599631
Name:ROUNDTREE, SHELIA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:SHELIA
Middle Name:ELIZABETH
Last Name:ROUNDTREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 AUGUSTA RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1302
Mailing Address - Country:US
Mailing Address - Phone:864-422-2601
Mailing Address - Fax:
Practice Address - Street 1:3510 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-1302
Practice Address - Country:US
Practice Address - Phone:864-422-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21218207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine