Individual
DR. DARYL CARSON WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Mailing address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032327
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000442604E
—
GA
Enumeration date
08/25/2005
Last updated
04/08/2011
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