Individual
MELISSA SUE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2815 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3216
(423) 587-3480
(423) 289-1973
Mailing address
2815 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3216
(423) 587-3480
(423) 289-1973
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2140
TN
Other
Enumeration date
04/17/2012
Last updated
10/16/2014
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