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Individual

CANDICE ELYSE SHANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
165 WESTHAVEN DR APT 16B, MYRTLE BEACH, SC 29579-3484
(843) 453-0040
Mailing address
165 WESTHAVEN DR APT 16B, MYRTLE BEACH, SC 29579-3484

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN099997
GA

Other

Enumeration date
07/27/2026
Last updated
07/27/2026
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