Individual
SHANNA NICOLE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732-1836
(803) 327-2012
Mailing address
3 CHURCH ST, ROCK HILL, SC 29730-4155
(803) 322-8848
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
204109
SC
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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