SHANNA H MACK

CAYCE, SC
NPI1699983338
Former NameSHANNA LEIGH HUTTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: SC  2144)
Enumeration Date2007-05-18
Last Update Date2020-11-09
Business Address
Mrs. SHANNA H MACK NP
3799 12TH STREET EXT STE 1110
CAYCE, SC 29033-3750
Phone number: 803-755-3337
Mailing Address
Mrs. SHANNA H MACK NP
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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