Individual
MRS. SHANNON TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
160 MEDICAL CIRCLE, FIRST FLOOR, WEST COLUMBIA, SC 29169-3656
(803) 796-6811
(803) 796-6851
Mailing address
160 MEDICAL CIRCLE, FIRST FLOOR, WEST COLUMBIA, SC 29169-3656
(803) 796-6811
(803) 796-6851
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R89467
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00038218
RR MEDICARE ID
SC
Enumeration date
10/03/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us