Individual
ERIN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN308716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100148440
STUDENT ID
GA
Enumeration date
07/28/2025
Last updated
07/28/2025
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