Individual
ALLEN WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303
(864) 560-6654
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388912
—
SC
01
—
SCA8545019
MEDICARE PIN
SC
01
—
SCA8549068
MEDICARE PIN
SC
Enumeration date
06/13/2014
Last updated
01/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us