Individual
SHANA J MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2591 N FRASER ST, GEORGETOWN, SC 29440-6411
(843) 546-3410
(843) 527-6964
Mailing address
4731 HIGHWAY 17, MURRELLS INLET, SC 29576-5127
(843) 839-7246
(843) 839-7323
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24524
SC
Other
Enumeration date
12/16/2020
Last updated
12/11/2025
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