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Organization
DANA L. WILEY, MD PA
Active
Organization
DANA L. WILEY, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA LEE WILEY MD (PRESIDENT)
(864) 220-9115
Entity
Organization
Contact information
Practice address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
(864) 220-9115
(864) 220-9513
Mailing address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
(864) 220-9115
(864) 220-9513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4113
—
SC
Enumeration date
07/26/2006
Last updated
10/11/2007
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