Provider Demographics
NPI:1356059695
Name:WHITE-SHAVERS JENKINS, SONIA WHITE-SHAVERS (HWC-HWC)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:WHITE-SHAVERS
Last Name:WHITE-SHAVERS JENKINS
Suffix:
Gender:F
Credentials:HWC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 TOWNE DR STE 248
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4204
Mailing Address - Country:US
Mailing Address - Phone:843-226-7867
Mailing Address - Fax:
Practice Address - Street 1:130 LAKE LINDEN DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6425
Practice Address - Country:US
Practice Address - Phone:843-226-7867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach