Individual
MRS. SHELBI BENCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(505) 321-5533
Mailing address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(505) 321-5533
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
222298
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222298
—
SC
Enumeration date
09/24/2014
Last updated
09/24/2014
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