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Individual

SHANNON BLEDSOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 512-5880
(864) 375-1347
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5880
(864) 375-1347

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22583
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225839
SC
Enumeration date
06/09/2006
Last updated
01/05/2023
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