Organization
ABOVE AND BEYOND HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAI D ALLEN APN (OWNER)
(864) 377-5026
Entity
Organization
Contact information
Practice address
924 BYPASS 25 NE, GREENWOOD, SC 29649-2900
(864) 377-5026
Mailing address
140 KINKADE DR, GREENWOOD, SC 29649-9077
(864) 377-5026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
08/20/2024
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