Individual
SHYWANNA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1999 SINGLEY ST, NORTH CHARLESTON, SC 29405-5016
(843) 745-2000
(843) 745-7191
Mailing address
1999 SINGLEY ST, NORTH CHARLESTON, SC 29405-5016
(843) 745-2000
(843) 745-7191
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
254503
SC
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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