Individual
DR. MARSHALL SHANNON SHOOK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DRIVE, BEAUFORT, SC 29906-5200
(843) 770-0404
(844) 295-9872
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24622
SC
207R00000X
Internal Medicine Physician
42970
TN
207R00000X
Internal Medicine Physician
ME102688
FL
207RC0000X
Cardiovascular Disease Physician
Primary
24622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246228
—
SC
Enumeration date
11/23/2005
Last updated
07/25/2019
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