Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON SMITH TIEBOUT, DO
ActiveDR. SHANNON SMITH TIEBOUT, DO is a Family Medicine healthcare provider located in LORIS, South Carolina. NPI 1205488848 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LORIS, SC
Registration Details
- NPI Number
- 1205488848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2019 (7.0758029864683 yrs)
- Last Updated
- Dec 19, 2023
- License
-
82954 (SC)
Practice Information
- Address
-
3418 CASEY STLORIS, SC, 295692904Browse SC providers · Browse ZIP 29569
- Phone
- 8437567885
- Fax
- 8437567855
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LORIS, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES N MOORE III | MD | 1467441329 |
| ANDREW J.R. SEJAN | M.D. | 1144311812 |
| TIMOTHY C MILLS | M.D. | 1972694628 |
| BERNICE FRANCESCA LIM | MD | 1326303538 |
| BRIAN JAMES THACKER | DO | 1275037145 |
| TWYLA CUMMINGS | MD | 1932738671 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.