Individual
MS. SHANNON RAE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
367 W EVANS ST, FLORENCE, SC 29501-3429
(843) 669-4156
(843) 664-2121
Mailing address
367 W EVANS ST, FLORENCE, SC 29501-3429
(843) 669-4156
(843) 664-2121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049
OPTOMETRY LICENSE
SC
05
—
D20494
—
SC
Enumeration date
06/01/2018
Last updated
02/14/2024
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