Individual
SHACOYA MICHELLE ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WILCOX LN, NORTH CHARLESTON, SC 29420-9057
(910) 273-4505
Mailing address
2400 WILCOX LN, NORTH CHARLESTON, SC 29420-9057
(910) 273-4505
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
241213
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
241213
MD
Other
Enumeration date
07/11/2024
Last updated
04/11/2026
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