Individual
MRS. DANA TIMMERMAN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
815 E GREENWOOD ST, ABBEVILLE, SC 29620-4271
(864) 366-5924
(864) 366-4011
Mailing address
815 E GREENWOOD ST, ABBEVILLE, SC 29620-4271
(864) 366-5924
(864) 366-4011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P27982
SC
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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