Shannon Taylor Wilson in West Columbia - Psychiatric/mental Health

Shannon Taylor Wilson - NPI 1205921764

Shannon Taylor Wilson is a Psychiatric/mental Health in West Columbia, South Carolina. Shannon Taylor Wilson practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Shannon Taylor Wilson is 1205921764. The last update date is 2007-07-09.

Shannon Taylor Wilson's current location address is 160 Medical Circle, West Columbia, South Carolina. You can contact this provider via phone number 8037966811 and fax number 8037966851. The mailing address for Shannon Taylor Wilson is 160 Medical Circle, West Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Taylor Wilson
Address 160 Medical Circle, West Columbia, South Carolina
Phone Number 8037966811
Fax Number 8037966851
Sole Proprietor N
Credentials MSN

NPI Number Detail

NPI Number 1205921764
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 160 Medical Circle
City West Columbia
State South Carolina (SC)
Post Code 291693656
Phone Number 8037966811
Fax Number 8037966851

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No R89467
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00038218 SC RR MEDICARE ID

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FAQs about Shannon Taylor Wilson

What is the Shannon Taylor Wilson's unique identification number?

The Shannon Taylor Wilson has been assigned the NPI (National Provider Identifier) Number 1205921764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Shannon Taylor Wilson is physically located?

The Shannon Taylor Wilson is physically situated at the following address: 160 Medical Circle, West Columbia, SC, 291693656.

What is Shannon Taylor Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shannon Taylor Wilson's specialized field of practice is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 163Wp0808X.

On what date was the 1205921764 assigned to Shannon Taylor Wilson?

The Shannon Taylor Wilson was issued its 1205921764 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Shannon Taylor Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shannon Taylor Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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