Individual
DR. MARK CAREY WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1786
(251) 414-5900
(251) 281-1167
Mailing address
101 MEMORIAL HOSPITAL DR, STE 200, MOBILE, AL 36608-1787
(251) 414-5900
(251) 281-1162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0013528
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510I080123
MEDICARE PTAN
AL
Enumeration date
08/02/2006
Last updated
05/18/2022
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