Individual
SHANE WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
89 OLD TROLLEY RD STE 102, SUMMERVILLE, SC 29485-4951
(854) 206-5513
(854) 246-8965
Mailing address
111 ROWBOAT RD, SUMMERVILLE, SC 29486-6900
(419) 689-2923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
04/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us