Individual
SHANTANIQUE KA'NIECE GIVENS-FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
457 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 781-7428
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28263
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN0179
—
SC
Enumeration date
05/29/2023
Last updated
05/08/2024
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