Individual
SHANNON WEBER DOUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6285
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LL90317
SC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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