Individual
MRS. SHEENA MICHELLE VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
222 E MEDICAL LN STE 300, WEST COLUMBIA, SC 29169-4848
(803) 739-3570
(803) 739-3575
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21645
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
21645
SC
Other
Enumeration date
02/07/2018
Last updated
03/06/2024
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