Individual
JULIE A SHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-6882
(038) 296-7320
(803) 296-7330
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25599
SC
363LF0000X
Family Nurse Practitioner
25599
SC
Other
Enumeration date
11/16/2017
Last updated
12/10/2021
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