NPI 1205921764
Shannon Taylor Wilson, MSN
Practice location
- Address
- 160 Medical Circle First Floor, West Columbia, SC 29169-3656
- Phone
- (803) 796-6811
- Fax
- (803) 796-6851
Registered specialties
Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1205921764
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Oct 2006
- Record last updated
- 9 Jul 2007
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.