Individual
MRS. MICHELLE INEZ SHANKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(502) 893-1000
Mailing address
10007 LAURALYNN CT, LOUISVILLE, KY 40299-5973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
11/29/2021
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