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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON BLACK

Active Sole Proprietor

SHANNON BLACK is a Adult Companion healthcare provider located in KINGSTREE, South Carolina. NPI 1588345383 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · KINGSTREE, SC

Registration Details

NPI Number
1588345383
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2023 (3.0906144266815 yrs)
Last Updated
Jul 26, 2023
Sole Proprietor
Yes

Practice Information

Address
7 WINCHESTER RD
KINGSTREE, SC, 295565772
Browse SC providers · Browse ZIP 29556
Phone
8433723136
Primary Specialty
Adult Companion
372600000X

Other Adult Companion Providers in KINGSTREE, SC

Name Credential NPI
ROBBIE EPPS 1386066421
LAKETA MCCORMICK 1417734757
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.