Enoch, Towanna Shanett-Lance

Enoch, Towanna Shanett-Lance is an individual health care provider with primary practice located at 1228 Harden St Ste C , Columbia SC 29204-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Enoch, Towanna Shanett-Lance can be contacted via phone (803) 748-1184.

Contact Information

Primary practice address
1228 Harden St Ste C Columbia SC 29204-1800
Phone: (803) 748-1184
Fax: (803) 748-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17617 South Carolina

Profile Details

NPI number 1982709069
LBN Legal business name Enoch, Towanna Shanett-Lance
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 23rd, 2022 - 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 1982709069 NPPES
South Carolina MEDICAID NP2494

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