Individual
MRS. SHANNON STINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 997-4866
Mailing address
6041 OLD BUCKSVILLE RD, CONWAY, SC 29527-7644
(843) 997-4866
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
108520
SC
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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