Individual
SHOOKA MOALLEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Mailing address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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