person
Shakisha T Redmond, PAC
Medical Physician Assistant in Newberry, South Carolina
NPI 1881741890

Shakisha T Redmond is a Medical Physician Assistant based in Columbia, SC and is specialized in Medical. Shakisha T Redmond practices in Newberry, SC and has the professional credentials of PAC. The NPI Number for Shakisha T Redmond is 1881741890 and holds a License No. A889 (South Carolina).

The current practice location address for Shakisha T Redmond is 2605 Kinard St, Newberry, SC and can be reached out via phone at 803-405-1900 and via fax at 803-405-1919.

Location: 2605 Kinard St, Newberry, SC, 29201-2619
person
Provider Profile Details
NPI Number
1881741890
Provider Name
Shakisha T Redmond
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
2605 Kinard St, Newberry, SC, 29201-2619
Phone Number
803-405-1900
Fax Number
803-405-1919
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1202PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2605 Kinard St
City
State
Zip
29108-2967
Phone Number
803-405-1900
Fax Number
803-405-1919
person
Provider Business Mailing Address Details
Address
2605 Kinard St
City
State
Zip
29108-2967
Phone Number
803-405-1900
Fax Number
803-405-1919
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A889 (South Carolina)
Definition
Definition to come...
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