Individual
PARIS WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 N TRYON ST UNIT 562382, CHARLOTTE, NC 28256-0267
(980) 202-2515
Mailing address
6700 N TRYON ST UNIT 562382, CHARLOTTE, NC 28256-0267
(980) 202-2515
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
25590872
NC
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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