Provider Demographics
NPI:1770475352
Name:COLEMAN, SHONDA NICOLE
Entity type:Individual
Prefix:MRS
First Name:SHONDA
Middle Name:NICOLE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 BEE HIVE RD
Mailing Address - Street 2:
Mailing Address - City:AWENDAW
Mailing Address - State:SC
Mailing Address - Zip Code:29429-6100
Mailing Address - Country:US
Mailing Address - Phone:843-364-6900
Mailing Address - Fax:
Practice Address - Street 1:930 BEE HIVE RD
Practice Address - Street 2:
Practice Address - City:AWENDAW
Practice Address - State:SC
Practice Address - Zip Code:29429-6100
Practice Address - Country:US
Practice Address - Phone:843-364-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other