Shakisha T Redmond, PAC
Physician Assistant, Medical in Newberry, SC. Individual provider (NPI-1).
NPI number1881741890
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1881741890
- Entity type
- Individual (NPI-1)
- Name
- Shakisha T Redmond
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | A889 | SC | Yes |
Practice location
2605 Kinard StSuite 200
Newberry, SC 29108-2967
Phone 803-405-1900 · Fax 803-405-1919
Mailing address
1818 Henderson StColumbia, SC 29201-2619
Phone 803-276-2186 · Fax 803-276-2630
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