Stafford, Shannon

Stafford, Shannon is an individual health care provider with primary practice located at 10125 Dorchester Rd Ste A7 , Summerville SC 29485-8548. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Stafford, Shannon can be contacted via phone (843) 520-9934.

Contact Information

Primary practice address
10125 Dorchester Rd Ste A7 Summerville SC 29485-8548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 73192 South Carolina

Profile Details

NPI number 1093301103
LBN Legal business name Stafford, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2020
Last updated Dec 14th, 2020 - about 6 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.

Request for update

Popular Providers