Search › South Carolina › 207Q00000X
Shannon Tiebout, DO
NPI 1205488848 · on the registry since 2019
Practice
- Address
- 3418 Casey St
Loris, SC 29569 - Phone
- (843) 756-7885
- Fax
- (843) 756-7855
- Organisation at this address
- Mcleod Physician Associates Ii
Southern Medical Associates, P.A.
Loris Community Hospital District
Loris Community Hospital District
Mcleod Regional Medical Center Of The Pee Dee, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 853 N Church St Ste 510, Spartanburg, SC
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina