Individual
SHAMAI AVIONA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3681 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-6021
(864) 578-2414
Mailing address
1410 PARAPET FORT DR APT 104, DUNCAN, SC 29334-7625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44041
SC
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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