Individual
HEATHER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2858 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 699-9073
(866) 527-0937
Mailing address
1320 MAIN ST, STE 300, COLUMBIA, SC 29201-3266
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92160
SC
Other
Enumeration date
01/15/2020
Last updated
01/07/2022
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