Individual
SHAWNA M BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 GARNERS FERRY RD, COLUMBIA, SC 29209-1445
(803) 216-3300
Mailing address
6311 GARNERS FERRY RD, COLUMBIA, SC 29209-1445
(803) 216-3300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
08/28/2020
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