Individual
DR. JERRY HENRY WILES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
845 S BUNCOMBE RD STE B, GREER, SC 29650-2432
(864) 522-1700
(864) 522-1724
Mailing address
104 DEVON DR, MAULDIN, SC 29662-1914
(864) 642-7480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37717
VT
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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