# SHINE HEALTHCARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265127997
- **Authorized official:** JASMIN L BOOKER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (470) 870-2404

## Contact information

- **Practice address:** 1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
- **Practice address phone:** (470) 870-2404
- **Mailing address:** 3631 CHAMBLEE TUCKER RD STE A288, ATLANTA, GA 30341-4415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 04/10/2023