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Individual

MRS. SHANNA Y TRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAA

Contact information

Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
004391
GA
367H00000X
Anesthesiologist Assistant
Primary
102
SC

Other

Enumeration date
11/22/2006
Last updated
05/28/2024
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