Individual
SHAMBREKA EADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
661 S ALINE ST, FLORENCE, SC 29506-3203
(843) 758-2454
Mailing address
707 NORFOLK ST, FLORENCE, SC 29506-6403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51319
SC
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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