Individual ProviderShywanna MackRegistered NurseNursing Service ProvidersPractice Address1999 Singley St, North Charleston, SC 29405-5016(843) 745-2000PECOS EnrollmentBased on the most recent information from CMS, provider Shywanna Mack does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1528789757Provider TypeIndividualFull NameMack, ShywannaCredentialRNGenderFemaleSole ProprietorYesEnumeration Date9/6/2022Last Updated9/6/2022Contact InformationPractice LocationPractice Address1999 Singley St, North Charleston, SC 29405-5016Phone(843) 745-2000Fax(843) 745-7191Mailing LocationMailing Address1999 Singley St, North Charleston, SC 29405-5016Phone(843) 745-2000Fax(843) 745-7191Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense254503South Carolina