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Individual

MS. SHANNON LINDSEY GAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3955 FABER PLACE DR, SUITE 202, NORTH CHARLESTON, SC 29405-8578
(843) 207-1760
(843) 207-1727
Mailing address
3955 FABER PLACE DR, SUITE 202, NORTH CHARLESTON, SC 29405-8578
(843) 207-1760
(843) 207-1727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4020
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1548
SC
01
P00820366
RAILROAD MEDICARE-RSFPN
SC
Enumeration date
01/08/2010
Last updated
03/31/2022
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