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Contact Information

MALLORY E SHASTEEN, MD
701 GROVE RD FL 1
GREENVILLE, SC29605-4210
 Phone: 864-455-7899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MALLORY E SHASTEEN · (Female)

NPI Number 1174967723
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2013
Last updated 01/20/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 39826
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • HILLCREST MEMORIAL HOSPITAL - (Acute Care)
    729 SOUTH EAST MAIN STREET
    SIMPSONVILLE, SC 29681
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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