Black, Wiley S
Black, Wiley S is an sole proprietor health care provider with primary practice located at 2626 Parker Trl , Gainesville GA 30506-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Black, Wiley S can be contacted via phone (770) 532-8608.Contact Information
Primary practice address
2626 Parker Trl
Gainesville GA 30506-1800
Phone: (770) 532-8608
Fax: (770) 718-1964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 009767 | Georgia |
Profile Details
| NPI number | 1386821007 |
|---|---|
| LBN Legal business name | Black, Wiley S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Jan 24th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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