Individual
DR. DOUGLAS LARRY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-1558
Mailing address
3021 REIDVILLE RD, SPARTANBURG, SC 29301-5643
(864) 576-9201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL1098
SC
Other
Enumeration date
07/26/2007
Last updated
02/14/2012
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