Individual
SHAWN MICHAEL GUERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3991 HIGHWAY 905, CONWAY, SC 29526-7127
(803) 237-1568
Mailing address
3991 HIGHWAY 905, CONWAY, SC 29526-7127
(803) 237-1568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
249042
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
26198
SC
Other
Enumeration date
04/27/2022
Last updated
10/07/2024
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