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1700131414
SHANNON MILLER HICKS
COLUMBIA, SC
NPI
1700131414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6742)
Enumeration Date
2012-07-18
Last Update Date
2012-07-18
Business Address
-- SHANNON MILLER HICKS DPT
6041 GARNERS FERRY RD SUITE B
COLUMBIA, SC 29209-1304
Phone number: 803-783-0684
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Mailing Address
-- SHANNON MILLER HICKS DPT
1519 TAYLOR ST
COLUMBIA, SC 29201-2918
Phone number: 803-779-8327
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