SHANE WILBURN, PA-C

Physician Assistant

Active Individual
NPI: 1669178075

Practice Address

89 OLD TROLLEY RD STE 102
Summerville, SC 29485

Phone: (854) 206-5513

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1669178075 is the National Provider Identifier for SHANE WILBURN, PA-C, a Physician Assistant provider located in Summerville, SC. This NPI was enumerated on February 7, 2023.
SHANE WILBURN, PA-C practices at 89 OLD TROLLEY RD STE 102, Summerville, SC 29485.

Quick Facts

NPI
1669178075
Type
Individual
Enumerated
Feb 7, 2023
Last Updated
Apr 22, 2025

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