Individual
DANIELLE RENAY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, PCT
Contact information
Practice address
137 N ERWIN ST, CARTERSVILLE, GA 30120-3123
(770) 403-9461
Mailing address
137 N ERWIN ST, CARTERSVILLE, GA 30120-3123
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CN0030063124
GA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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