Individual
MRS. SHANNON PARKER MEDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.
Contact information
Practice address
1115 NATURE LN, GILBERT, SC 29054-9754
(803) 260-7833
Mailing address
1115 NATURE LN, GILBERT, SC 29054-9754
(803) 260-7833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4717
SC
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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