Individual
SHAWN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1064 GARDNER RD STE 112, CHARLESTON, SC 29407-5768
(843) 723-3441
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1732
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
6906
—
367H00000X
Anesthesiologist Assistant
Primary
87
SC
Other
Enumeration date
10/01/2013
Last updated
05/14/2024
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