Individual
MRS. SHANNON MICHELLE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4022 POSTAL WAY, MYRTLE BEACH, SC 29579-3537
(843) 236-0000
(843) 236-6191
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21780
SC
Other
Enumeration date
04/10/2018
Last updated
05/27/2020
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