Individual
SHARANDA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(910) 536-0520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MMD.90389
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
08/11/2023
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