Individual
RICHARD SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-6296
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MMD.88266
SC
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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