SHANNON STAFFORD

SUMMERVILLE, SC
NPI1093301103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: SC  73192)
Enumeration Date2020-12-14
Last Update Date2020-12-14
Business Address
SHANNON STAFFORD
10125 DORCHESTER RD STE A7
SUMMERVILLE, SC 29485-8548
Phone number: 843-520-9934
Mailing Address
SHANNON STAFFORD
144 BEN RUFUS DR
GEORGETOWN, SC 29440-8753
Phone number:
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