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MRS. SHANNA ELIZABETH COWAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS PAC

Contact information

Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2653
Mailing address
100 GATEWAY BLVD, APT 911, GREENVILLE, SC 29607-5865
(864) 525-4947
(864) 672-2653

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
1045
SC

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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