Individual
WILLIE JAMES WHEAT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA/TECH
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-3021
Mailing address
533 BUCKHAVEN WAY, COLUMBIA, SC 29229-8385
(785) 717-5644
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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