Individual
MRS. AMY SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4822 E PALMETTO ST, FLORENCE, SC 29506-4530
(843) 274-4722
Mailing address
2063 SALEM RD, SCRANTON, SC 29591-5553
(843) 274-4722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25767
SC
Other
Enumeration date
08/22/2018
Last updated
05/05/2022
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