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Contact Information

HEATHER E SHIFLETT, PA-C
1040 EDGEWATER CORPORATE PKWY STE 104
FORT MILL, SC29707-4526
 Phone: 803-547-8660
 Fax: 704-544-0172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER E SHIFLETT · (Female)

NPI # 1619901568
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/10/2006
Last updated 04/18/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 102370
  • SC License # 1328
  • NC Medicaid 1619901568
  • NC Medicaid 8102101
  • SC Medicaid 1865PA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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