Healthcare Provider Details
I. General information
NPI: 1841631835
Provider Name (Legal Business Name): SHARON ARNEICE MCKINNEY RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 BEE ST
CHARLESTON SC
29401-5703
US
IV. Provider business mailing address
5089 HIGHWAY 174
HOLLYWOOD SC
29449-5538
US
V. Phone/Fax
- Phone: 843-789-7217
- Fax:
- Phone: 843-889-3463
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: