| Shine Healthcare Group | |
|
1320 Main St Ste 300 Columbia SC 29201-3266 | |
| (470) 870-2404 | |
| Not Available |
| Full Name | Shine Healthcare Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1320 Main St Ste 300, Columbia, South Carolina |
| Authorized Official Name and Position | Jasmin L Booker (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4708702404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Healthcare Group 3631 Chamblee Tucker Rd Ste A288 Atlanta GA 30341-4415 Ph: () - | Shine Healthcare Group 1320 Main St Ste 300 Columbia SC 29201-3266 Ph: (470) 870-2404 |
| NPI Number | 1265127997 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265127997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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