Individual
SHANNON LEIGH GEARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-7529
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-7529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL29754
SC
Other
Enumeration date
07/17/2007
Last updated
10/31/2008
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