Individual
MRS. MILDRED WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3134
Mailing address
337 FURY DR, INMAN, SC 29349-8452
(864) 472-6840
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
51434
SC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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