Individual
BRIAN K WYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
501 ROBERTSON BLVD, COLLETON MEDICAL CENTER, WALTERBORO, SC 29488
(843) 782-2767
(843) 549-6867
Mailing address
302 MEDICAL PARK DR, SUITE 210, WALTERBORO, SC 29488-5747
(843) 782-2767
(843) 549-6867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0268
—
SC
Enumeration date
05/17/2006
Last updated
04/14/2010
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