Provider Demographics
NPI:1225697931
Name:SINGLETON, SHENIA LORRAINE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SHENIA
Middle Name:LORRAINE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:MRS
Other - First Name:SHENIA
Other - Middle Name:LORRAINE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:169 ASHLEY AVE RM 202
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:706 TAHOE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6629
Practice Address - Country:US
Practice Address - Phone:917-807-7693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL82667207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine