Whalio Doctors

NPI 1205921764

Shannon Taylor Wilson, MSN

Practitioner Psychiatric/Mental Health Registered Nurse West Columbia, SC

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
Nursing Service Providers Taxonomy 163WP0808X Licence R89467 (SC)

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.