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Individual

SHAYLA RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
PO BOX 23467, NEW YORK, NY 10087-3467
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN222256
GA
363LF0000X
Family Nurse Practitioner
19532
SC
363LF0000X
Family Nurse Practitioner
RN222256
GA

Other

Enumeration date
05/11/2015
Last updated
11/20/2023
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