Wiley Wilson DO

NPI 1083686430 - Pediatrics - 208000000X

NPI Details
NPI 1083686430
Gender Male
Enumeration Date 02/01/2006
Last Updated 09/04/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
176 LAKEVIEW CIR
CORDELE GA, 31015-5318, US
Phone (229) 322-0570
Fax (229) 271-7504
Business Location
176 LAKEVIEW CIR
CORDELE GA, 31015-5318, US
Phone (229) 322-0570
Fax (229) 271-7504
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 036633
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According to our database, Dr. Wiley Wilson DO NPI is 1083686430, taxonomy code is 208000000X and license number is 036633, license state is located at Georgia. Wiley Wilson DO physically located at 176 Lakeview Cir, Cordele GA, 31015-5318. NPI Number Wiley Wilson DO has the Individual type.

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1083686430 NPI number is provided on an as is basis without warranty of any kind. 1083686430 is maintained by the National Plan & Provider Enumeration System. The contents of Wiley Wilson DO are for informational purposes only.