Search › South Carolina › 225200000X
Samuel Shannon, PTA
NPI 1871210039 · on the registry since 2022
Practice
- Address
- 420b Mcnulty St
Blythewood, SC 29016 - Phone
- (803) 728-0421
- Fax
- (803) 728-0424
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-27
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