Individual
SHANTEL NERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 PINEGROVE RD, BATH, SC 29816
(803) 593-3364
Mailing address
1018 PINEGROVE RD, BEECH ISLAND, SC 29816
(803) 593-3364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2242
SC
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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