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Search › South Carolina › 207P00000X

Shane Wilson

NPI 1659121952 · on the registry since 2024 · sole proprietor

Practice

Address
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203
Phone
(803) 434-1663
Fax
(803) 434-7092
Organisation at this address
Palmetto Health
Palmetto Health
Palmetto Health
Healthtouch, Llc
Prisma Health-Midlands
Inferred from a shared address, not stated in the registry.
Clinicians at this address
376

Additional practice sites

  • 1325 Spring St, Greenwood, SC

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina