Individual provider · Type 1 NPI

Wilesha Shanise Moore, PA-C

Physician Assistant · Greenville, SC

NPI number 1659136240 Active

Practice location

545 W Butler Rd
Greenville, SC 29607-4833

Call (864) 299-1990 Map

Fax (864) 299-9123

Other practice locations

  • 2555 N Pleasantburg Dr, Greenville, SC 29609-3030 · (864) 609-4008

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6106 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659136240

Wilesha Shanise Moore, PA-C's National Provider Identifier is 1659136240, issued on Feb 14, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenville, SC. The record was last updated on Jul 25, 2026.