Individual
ANDREA H WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1316 NOBLE ST, ANNISTON, AL 36201-4643
(256) 236-0221
Mailing address
P.O. BOX 97, GADSDEN, AL 35902-0097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6303
AL
Other
Enumeration date
08/28/2016
Last updated
08/29/2016
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