Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATANASIKA LAVONNE SHANNON
Active Sole ProprietorTATANASIKA LAVONNE SHANNON is a Case Management Agency healthcare provider located in ROCK HILL, South Carolina. NPI 1902326010 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · ROCK HILL, SC
Registration Details
- NPI Number
- 1902326010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2017 (8.9591244137999 yrs)
- Last Updated
- Jun 21, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 SOFT WINDS VILLAGE DRROCK HILL, SC, 297307642Browse SC providers · Browse ZIP 29730
- Phone
- 7042646045
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Respite Care
- Additional Specialty
- Case Management Agency
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.