| Doctor Name: | MS. SHANIQUA DAWN ALSTON |
| NPI Number: | 1174942734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | 219843 |
| Business Practice Address: | 109 W Main St Moncks Corner, SC - 294612673 |
| Business Phone Number: | 8437194600 |
| Business Fax Number: | 8437194778 |
| Mailing Address: | 210 Pleasant Hill Dr, GOOSE CREEK |
| State: | SC |
| Postal Code: | 294453595 |
| Phone Number: | 8432247986 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2014 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 219843 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |