SHANE WILBURN

SUMMERVILLE, SC
NPI1669178075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-02-07
Last Update Date2025-04-22
Business Address
SHANE WILBURN PA-C
89 OLD TROLLEY RD STE 102
SUMMERVILLE, SC 29485-4951
Phone number: 854-206-5513
Mailing Address
SHANE WILBURN PA-C
111 ROWBOAT RD
SUMMERVILLE, SC 29486-6900
Phone number: 419-689-2923
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