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Search › South Carolina › 363A00000X

Shane Wilburn, PA-C

NPI 1669178075 · on the registry since 2023 · sole proprietor

Practice

Address
89 Old Trolley Rd Ste 102
Summerville, SC 29485
Phone
(854) 206-5513
Fax
(854) 246-8965
Organisation at this address
Amy A Brown, Llc
Healthy Roots Md, Llc
Law Of Tranquility Llc
Spenrath Counseling Llc
Carolina Grace Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2025-04-22

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