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Individual

KATHRYN T SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
255 ENTERPRISE BLVD, SUITE 101, GREENVILLE, SC 29615-6300
(864) 454-8120
(864) 454-8125
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN190
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1449
SC
01
P01038994
RAILROAD MEDICARE
SC
Enumeration date
11/06/2006
Last updated
05/10/2013
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