Individual
TONYA SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
321 EASTOVER CIR, SUMMERVILLE, SC 29483-5202
(815) 901-3504
Mailing address
321 EASTOVER CIR, SUMMERVILLE, SC 29483-5202
(815) 901-3504
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
241668
SC
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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