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Individual

SHELLEY R KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
811 W MAIN ST, ATTN CREDENTIALING, LEXINGTON, SC 29072-2507
(803) 358-6100
(803) 358-6167
Mailing address
811 W MAIN ST, ATTN CREDENTIALING, LEXINGTON, SC 29072-2507
(803) 358-6100
(803) 358-6167

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN 1252
SC

Other

Enumeration date
03/09/2007
Last updated
03/24/2009
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