Individual
WILEY A GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1914 EUCLID AVE, BRISTOL, VA 24201-3608
(276) 642-0107
(276) 642-0347
Mailing address
1914 EUCLID AVE, BRISTOL, VA 24201-3608
(276) 642-0107
(276) 642-0347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000940
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6708935
—
VA
Enumeration date
05/04/2006
Last updated
12/13/2012
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