Individual
MRS. HEATHER ELIZABETH SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY STE 104, FORT MILL, SC 29707-4526
(803) 547-8660
(704) 544-0172
Mailing address
8015 FARMBROOK DR, WAXHAW, NC 28173-7123
(704) 667-2650
(704) 544-0172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102370
NC
363AS0400X
Surgical Physician Assistant
1328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619901568
—
NC
05
—
1865PA
—
SC
05
—
8102101
—
NC
Enumeration date
07/10/2006
Last updated
04/18/2024
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