IndividualActive
Shakelia Stephens
NPI 1972045078 · Contractor · Georgetown, SC
Provider details
- NPI number
- 1972045078
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178904 (SC)
Mailing address
4025 N Fraser St
Georgetown, SC 29440-6659
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.