Childress, Shawn

Childress, Shawn is an individual health care provider with primary practice located at 1064 Gardner Rd Ste 112 , Charleston SC 29407-5768. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Childress, Shawn can be contacted via phone (843) 723-3441.

Contact Information

Primary practice address
1064 Gardner Rd Ste 112 Charleston SC 29407-5768
Phone: (843) 723-3441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 6906
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 87 South Carolina

Profile Details

NPI number 1962839209
LBN Legal business name Childress, Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated May 14th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers