Individual
CHASITY A SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 MOSELEY AVE, IRMO, SC 29063-2787
(803) 244-9369
Mailing address
266 CAEDMONS CREEK DR, IRMO, SC 29063-7100
(803) 528-0031
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
70244
SC
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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