Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 82895 | SC |
NPI | 1013399914 |
---|---|
Provider Name | Dr. Alexandra Ann Shurling |
First Address | Greenwood, SC 29646-2310 |
Second Address | Greenwood, SC 29646-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2015 |
Last Update Date | 23/07/2019 |