Individual
KRISTINA SHINABERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1220 21ST AVE N, MYRTLE BEACH, SC 29577-7401
(843) 626-9379
Mailing address
1220 21ST AVE N, MYRTLE BEACH, SC 29577-7401
(843) 626-9379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2065
SC
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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