Individual
RONALD EDWARD SHUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Mailing address
1109 SALUDA CHASE WAY, WEST COLUMBIA, SC 29169-6042
(803) 210-8144
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0066305
SC
163WC1500X
Community Health Registered Nurse
Primary
0066305
SC
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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