Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edward Wikkiam Shepard Jr., PA

Individual provider Physician Assistant · NPI 1619073152

Mr. Edward Wikkiam Shepard Jr., PA is a Physician Assistant in Charleston, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

109 Bee St
Charleston, SC 29401-5703
Phone: (843) 789-7330
Fax: (843) 937-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619073152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007

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