Organization
FOCUS SC 1009, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C WILEY MD (OWNER)
(251) 301-8276
Entity
Organization
Contact information
Practice address
900 BOWMAN RD, SUITE 303, MT PLEASANT, SC 29464
(843) 593-9332
Mailing address
900 BOWMAN RD, SUITE 303, MT. PLEASANT, SC 29464
(843) 593-9332
(251) 414-5809
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
12/11/2013
Last updated
04/24/2017
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