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Dr. Shannon Smith Tiebout, DO
Family Medicine Physician in Loris, South Carolina
NPI 1205488848

Shannon Smith Tiebout is a Family Medicine Physician based in Loris, SC. Shannon Smith Tiebout practices in Loris, SC and has the professional credentials of DO. The NPI Number for Shannon Smith Tiebout is 1205488848 and holds a License No. 82954 (South Carolina).

The current practice location address for Shannon Smith Tiebout is 3418 Casey St, Loris, SC and can be reached out via phone at 843-756-7885 and via fax at 843-756-7855.

Location: 3418 Casey St, Loris, SC, 29569-2904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205488848
Provider Name
Shannon Smith Tiebout
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3418 Casey St, Loris, SC, 29569-2904
Phone Number
843-756-7885
Fax Number
843-756-7855
Provider Enumeration Date
07/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3418 Casey St
City
Loris
State
South Carolina
Zip
29569-2904
Phone Number
843-756-7885
Fax Number
843-756-7855
person
Provider Business Mailing Address Details
Address
3418 Casey St
City
Loris
State
South Carolina
Zip
29569-2904
Phone Number
843-756-7885
Fax Number
843-756-7855
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
82954 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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