Arnold, Charles Shannon

Arnold, Charles Shannon is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Arnold, Charles Shannon can be contacted via phone (864) 797-7875.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 797-7875
Fax: (864) 797-7880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 942 South Carolina

Profile Details

NPI number 1285714881
LBN Legal business name Arnold, Charles Shannon
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285714881 NPPES
South Carolina MEDICAID NP2291

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