Individual
DR. SHANE VINCENT CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Mailing address
1611 NW 12TH AVE, SW 303, MIAMI, FL 33136-1005
(305) 585-6973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
86426
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/23/2013
Last updated
04/22/2022
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