Gooding, Shannon J

Gooding, Shannon J is an individual health care provider with primary practice located at 3710 Landmark Dr Ste 300 , Columbia SC 29204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gooding, Shannon J can be contacted via phone (803) 898-1470.

Contact Information

Primary practice address
3710 Landmark Dr Ste 300 Columbia SC 29204
Phone: (803) 898-1470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5010159 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20509 South Carolina

Profile Details

NPI number 1134570336
LBN Legal business name Gooding, Shannon J
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 11th, 2024 - about 2 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 1134570336 NPPES
South Carolina MEDICAID 1134570336
South Carolina MEDICAID 1134570336
South Carolina MEDICAID NP4540

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