Individual
CAITLIN WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9404 HIGHWAY 78 STE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Mailing address
9404 HIGHWAY 78 STE 100, LADSON, SC 29456-3909
(502) 855-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3057
SC
363A00000X
Physician Assistant
7817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3768PA
—
SC
Enumeration date
12/03/2015
Last updated
02/12/2026
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