Individual
SHELLY C WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1330 HAILE ST, CAMDEN, SC 29020-3002
(803) 432-6771
(803) 376-2870
Mailing address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 255-2655
(803) 376-2870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61322
SC
Other
Enumeration date
08/05/2006
Last updated
01/28/2016
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