Organization
DANA L. WILEY, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA LEE WILEY MD (PRESIDENT)
(864) 220-9115
Entity
Organization
Contact information
Practice address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
(864) 220-9115
(864) 220-9513
Mailing address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
(864) 220-9115
(864) 220-9513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4113
—
SC
Enumeration date
07/26/2006
Last updated
10/11/2007
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