Individual
DAVID HUEY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 WATSON BLVD, WARNER ROBINS, GA 31093-8536
(478) 953-4563
(478) 953-4564
Mailing address
3051 WATSON BLVD, WARNER ROBINS, GA 31093-8536
(478) 953-4563
(478) 953-4564
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
65809
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
65809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110111A
—
GA
05
—
003110111B
—
GA
05
—
003110111C
—
GA
Enumeration date
04/20/2007
Last updated
08/28/2015
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