Individual
WILLIAM LINDSAY WYLIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 242-4840
(864) 232-8113
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9847
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098478
—
SC
01
—
1587187
CIGNA ID
SC
01
—
4460414
AETNA ID
SC
01
—
571004971001
BCBS OF SC ID
SC
Enumeration date
06/28/2006
Last updated
07/22/2013
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