Individual
ROBERT MICHAEL SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6404
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6404
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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