Individual
SHAKERA GILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 SAM RITTENBERG BLVD STE 202, CHARLESTON, SC 29407-4189
(843) 647-6349
Mailing address
1527 SAM RITTENBERG BLVD STE 202, CHARLESTON, SC 29407-4189
(843) 647-6349
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
N24104716
SC
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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