Shavonna Green
NPI #1336785039 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1336785039
- Entity Type
- Individual
- Name
- Shavonna Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 18, 2019
- Last Updated
- Nov 18, 2019
Practice Location
- Address
- 2889 ROSEDALE DR
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-8428
- Phone
- (804) 570-6736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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