Individual
DR. THOMAS B WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1108 FETNER DR, AMERICUS, GA 31709-3774
(229) 924-4479
(229) 924-4391
Mailing address
1108 FETNER DR, P O BOX 763, AMERICUS, GA 31709-3774
(229) 924-4479
(229) 924-4391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0007667
GA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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