Individual
MRS. SHANNA H MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3799 12TH STREET EXT STE 1110, CAYCE, SC 29033-3750
(803) 755-3337
(803) 955-2225
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
2144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84231
RN LICENSE
SC
Enumeration date
05/18/2007
Last updated
11/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us