Individual
SHANNON MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
86228
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
27471
SC
Other
Enumeration date
06/06/2021
Last updated
07/25/2023
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