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1013557354
HEATHER SHAW
WEST COLUMBIA, SC
NPI
1013557354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 92160)
Enumeration Date
2020-01-15
Last Update Date
2022-01-07
Business Address
HEATHER SHAW FNP-C
2858 SUNSET BLVD
WEST COLUMBIA, SC 29169-3420
Phone number: 803-699-9073
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Mailing Address
HEATHER SHAW FNP-C
1320 MAIN ST STE 300
COLUMBIA, SC 29201-3266
Phone number: 866-949-0108
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