Shannon Stafford
NPI #1093301103 in Summerville, South Carolina
Provider Information
- NPI Number
- 1093301103
- Entity Type
- Individual
- Name
- Shannon Stafford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Dec 14, 2020
- Last Updated
- Dec 14, 2020
Practice Location
- Address
- 10125 DORCHESTER RD STE A7
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29485-8548
- Phone
- (843) 520-9934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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Organizations
| Provider Name | |
|---|---|
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