Provider Demographics
NPI:1538884689
Name:GALLOWAY, SHEKINAH (CNA)
Entity type:Individual
Prefix:MRS
First Name:SHEKINAH
Middle Name:
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CRABAPPLE CHASE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-3831
Mailing Address - Country:US
Mailing Address - Phone:864-309-6250
Mailing Address - Fax:
Practice Address - Street 1:5205 OLD AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-1645
Practice Address - Country:US
Practice Address - Phone:864-356-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health Aide