NPI 1093301103

Shannon Stafford

Practitioner Prosthetics Case Management Summerville, SC

Practice location

Address: 10125 Dorchester Rd STE A7, Summerville, SC 29485-8548
Phone: (843) 520-9934
Mailing address: 144 Ben Rufus Dr, Georgetown, SC 29440-8753

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence 73192 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1093301103
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2020
Record last updated: 14 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.