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1871172254
SHANTISE BYRD
CAMDEN, SC
NPI
1871172254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 24841)
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
SHANTISE BYRD
2010 W DEKALB ST
CAMDEN, SC 29020-2058
Phone number: 803-272-0500
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Mailing Address
SHANTISE BYRD
2010 W DEKALB ST
CAMDEN, SC 29020-2058
Phone number:
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