Individual
DR. SHANNON MORRIS PYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
664 HIERS CORNER RD, WALTERBORO, SC 29488-2897
(843) 549-5913
(843) 549-5193
Mailing address
PO BOX 488, WALTERBORO, SC 29488-0005
(843) 549-5913
(843) 549-5193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9652
—
SC
05
—
ZX3282
—
SC
Enumeration date
10/26/2006
Last updated
07/24/2007
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