Individual
CAMERON TAYLOR SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
700 DANIEL ELLIS DR APT 5201, CHARLESTON, SC 29412-3052
(843) 300-2321
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
26054
SC
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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