Individual
DR. KYLE JASON WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1020 E NORTH 1ST ST, SENECA, SC 29678-2848
(864) 882-9610
Mailing address
1020 E NORTH 1ST ST, SENECA, SC 29678-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13972
SC
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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