Individual
MRS. SHANNON UYEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, BC
Contact information
Practice address
2728 SUNSET BLVD, SUITE 300, WEST COLUMBIA, SC 29169-4840
(803) 479-8836
Mailing address
300 AGAPE DR, WEST COLUMBIA, SC 29169-3307
(803) 739-5282
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19323
SC
Other
Enumeration date
03/03/2015
Last updated
04/03/2026
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