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Shannon Brockwell, PTA
NPI 1083945216 · on the registry since 2010
Practice
- Address
- 401 W Martintown Rd
Suite 169
North Augusta, SC 29841 - Phone
- (803) 441-0025
- Organisation at this address
- Walgreen Co
Lincare Inc.
Taylors Compounding Llc
Custom Pharmacy Of North AugustaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina