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Individual

DR. ALBERT L WILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
600 MOYE BLVD, LEO JENKINS CANCER CENTER, GREENVILLE, NC 27858
(252) 744-2900
(252) 744-3844
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20363
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5900477
NC
01
87389
BCBS NC
NC
Enumeration date
11/28/2005
Last updated
07/08/2007
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