Organization
JC & SHANNON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA F MAZYCK (CO-OWNER)
(843) 554-3806
Entity
Organization
Contact information
Practice address
2247 MOTT AVE, N CHARLESTON, SC 29405-5917
(843) 554-3806
(843) 554-3802
Mailing address
2247 MOTT AVE, N CHARLESTON, SC 29405-5917
(843) 554-3806
(843) 554-3802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2007-01034NC
SC
Other
Enumeration date
04/26/2007
Last updated
06/23/2008
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