Individual
GILLIAN TAYLOR SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 SOUTH MARION ST, COLUMBIA, SC 29201
(203) 535-5576
Mailing address
112 SILO CT # 442B, COLUMBIA, SC 29201-4972
(203) 535-5576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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