Individual
CHARLES HENRY WILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 PINNACLE POINT DR., SUITE 200, MONCRIEF MEDICAL HOME US ARMY, COLUMBIA, SC 29223-5740
(803) 562-2129
(803) 419-3758
Mailing address
1021 PINNACLE POINT DR., SUITE 200, MONCRIEF MEDICAL HOME US ARMY, COLUMBIA, SC 29223-5740
(803) 562-2129
(803) 419-3758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146926
—
SC
Enumeration date
01/23/2006
Last updated
06/09/2011
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