Individual
CHRIS SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9890B WINDSOR LAKE BLVD, COLUMBIA, SC 29223-2028
(803) 888-7800
Mailing address
9890B WINDSOR LAKE BLVD, COLUMBIA, SC 29223-2028
(803) 888-7800
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
218086
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX2005
—
SC
Enumeration date
12/28/2022
Last updated
12/28/2022
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