SHANNON SMITH TIEBOUT

LORIS, SC
NPI1205488848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  82954)
Enumeration Date2019-07-14
Last Update Date2023-12-19
Business Address
Dr. SHANNON SMITH TIEBOUT DO
3418 CASEY ST
LORIS, SC 29569-2904
Phone number: 843-756-7885
Mailing Address
Dr. SHANNON SMITH TIEBOUT DO
3418 CASEY ST
LORIS, SC 29569-2904
Phone number: 843-756-7885
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