Individual
SHANNON WILLIAMSON CRIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-8005
(803) 434-3800
(803) 744-2759
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21570
SC
363LF0000X
Family Nurse Practitioner
Primary
21570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4987
—
SC
Enumeration date
01/11/2018
Last updated
01/04/2022
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