Organization
SANJIN MEDICAL PA
Active
Organization
SANJIN MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WILEY MD (PRESIDENT)
(864) 220-9115
Entity
Organization
Contact information
Practice address
102 COMMONS BLVD, STE C, PIEDMONT, SC 29673-7766
(864) 220-9115
(864) 220-9513
Mailing address
3300 N MAIN ST STE D, PMB 171, ANDERSON, SC 29621-4128
(864) 220-9115
(864) 220-9513
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
17523
SC
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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