Individual
SHANNEN SHERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
120 ACADEMY ST STE 102, FORT MILL, SC 29715-1838
(803) 766-4470
Mailing address
120 ACADEMY ST STE 102, FORT MILL, SC 29715-1838
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19110015
NORTH AMERICAN REGISTRY OF MIDWIVES
—
Enumeration date
01/05/2022
Last updated
01/05/2022
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