IndividualActive
Shannon Baker, CNA
NPI 1225415003 · Chore Provider · West Columbia, SC
Provider details
- NPI number
- 1225415003
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
331 Woodberry Rd
West Columbia, SC 29170-2826
Phone: (803) 816-0564
Approximate (ZIP-level) locationGet directions
Mailing address
331 Woodberry Rd
West Columbia, SC 29170-2826
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2015-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.