Individual
SHANNON D ROUNDTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
(264) 227-3600
Mailing address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
(264) 227-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106893
SC
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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