Basic Information
| Provider Information | |||||||||
| NPI: | 1487321576 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOWDLE | ||||||||
| FirstName: | SHAQUINDA | ||||||||
| MiddleName: | ADDREINA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 MYER LN | ||||||||
| Address2: | |||||||||
| City: | GOOSE CREEK | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294454886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8434425038 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 E HOSPITAL ST STE 4A | ||||||||
| Address2: | |||||||||
| City: | MANNING | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291023149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8034330797 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2021 | ||||||||
| LastUpdateDate: | 08/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | CNM05360 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.