| Doctor Name: | SHARALYN JOY WILBURN |
| NPI Number: | 1124167770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | APRN 798 |
| Business Practice Address: | 935 W 2nd St Swansea, SC - 291608665 |
| Business Phone Number: | 8035682000 |
| Business Fax Number: | 8035684190 |
| Mailing Address: | 2720 Sunset Blvd, Attn Credentialing WEST COLUMBIA |
| State: | SC |
| Postal Code: | 291694810 |
| Phone Number: | 8039367679 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | APRN 798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |