DR. Shannon Smith Tiebout, DO
NPI #1205488848 in Loris, South Carolina
Provider Information
- NPI Number
- 1205488848
- Entity Type
- Individual
- Name
- DR. Shannon Smith Tiebout, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jul 14, 2019
- Last Updated
- Dec 19, 2023
Practice Location
- Address
- 3418 CASEY ST
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-2904
- Phone
- (843) 756-7885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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