SHANE MICHAEL WILSON

COLUMBIA, SC
NPI1659121952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  92795)
Enumeration Date2024-03-27
Last Update Date2026-08-11
Business Address
SHANE MICHAEL WILSON
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203-6896
Phone number: 803-434-1663
Mailing Address
SHANE MICHAEL WILSON
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number:
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