Individual
SHANITA DOMINIQUE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8358
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
144233
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
30053
SC
367500000X
Certified Registered Nurse Anesthetist
7200
NC
Other
Enumeration date
05/08/2023
Last updated
09/15/2025
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