Individual
DR. LARRY ARTHUR WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1595 MAIN STREET, BOX 157, ALTAMONT, TN 37301
(931) 779-2217
(931) 692-3889
Mailing address
1595 MAIN STREET, P. O. BOX 157, ALTAMONT, TN 37301
(931) 779-2217
(931) 692-3889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5630
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354-7472
—
TN
Enumeration date
10/20/2005
Last updated
07/09/2007
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