Individual
CASEY REED WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 SPRINGHILL AVE, ROOM 3414, MOBILE, AL 36604-3207
(251) 434-3480
Mailing address
1370 PEPPERS FERRY RD NW, CHRISTIANSBURG, VA 24073-5798
(540) 808-8537
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2009
Last updated
05/02/2009
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