Individual
MRS. MICHELLE INEZ SHANKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8950 UNIVERSITY BLVD STE 300, NORTH CHARLESTON, SC 29406-9889
(843) 606-7174
(843) 606-8122
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4079
SC
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4841PA
—
SC
Enumeration date
08/09/2017
Last updated
06/03/2026
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