| NPI | 1326846254 |
|---|---|
| Doing Business As | SHATARRA SALLEY |
| Entity Type | Organization |
| Authorized Contact | SHATARRA SALLEY Owner/Np 843-344-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |