Individual provider · Type 1 NPI
Shane Wilburn, PA-C
Physician Assistant · Summerville, SC
Practice location
89 Old Trolley Rd Ste 102
Summerville, SC 29485-4951
Fax (854) 246-8965
Mailing address
111 Rowboat Rd
Summerville, SC 29486-6900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
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 1669178075
Shane Wilburn, PA-C's National Provider Identifier is 1669178075, issued on Feb 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Summerville, SC. The record was last updated on Apr 22, 2025.