Individual
MRS. SHELLEY M GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
4301 DICK POND RD, MYRTLE BEACH, SC 29588-6807
(843) 652-8100
(843) 652-8122
Mailing address
PO BOX 1209, MURRELLS INLET, SC 29576-1209
(843) 652-8220
(843) 520-8365
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
013354
NY
363AM0700X
Medical Physician Assistant
Primary
TL2725
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03160950
—
NY
01
—
TL2725
SC MEDICAL LICENSE
SC
Enumeration date
12/18/2008
Last updated
04/06/2017
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