NPI 1588345383
Shannon Black
Practice location
- Address
- 7 Winchester Rd, Kingstree, SC 29556-5772
- Phone
- (843) 372-3136
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1588345383
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jul 2023
- Record last updated
- 26 Jul 2023
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.