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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLEY BROOKE WALLACE, PA

Active

SHELLEY BROOKE WALLACE, PA is a Physician Assistant healthcare provider located in SPARTANBURG, South Carolina. NPI 1699652511 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SPARTANBURG, SC

Registration Details

NPI Number
1699652511
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2025 (0.97989107104455 yrs)
Last Updated
Oct 7, 2025

Practice Information

Address
101-199 CHEROKEE ST
SPARTANBURG, SC, 29303
Browse SC providers · Browse ZIP 29303
Phone
3369958611
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SPARTANBURG, SC

Name Credential NPI
CARRIE SUE KNIPE PAC 1962408229
CHRISTEL ANN SCHWEIZER PA 1750362182
THOMAS C HOKANSON PA C 1376591313
MRS. NICOLE LYNNE CROCKFORD PA-C 1265480065
MELISSA RICE P.A.- C 1285683698
HOLLY AUSTIN PAC 1922047521
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.