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Individual

SHALANDA RENE' WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4311 HARD SCRABBLE RD, COLUMBIA, SC 29229-9422
(803) 434-7870
(803) 434-3340
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301095155
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
85262
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852624
SC
Enumeration date
07/01/2009
Last updated
02/06/2025
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