Individual
DR. SHANNON MARIE MARCOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2010
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1509
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015094
—
SC
Enumeration date
07/03/2007
Last updated
05/11/2021
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