Wilder, James Tyrone

Wilder, James Tyrone is an individual health care provider with primary practice located at 501 Belle Hall Pkwy Unit 102 , Mount Pleasant SC 29464-8322. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilder, James Tyrone can be contacted via phone (843) 225-0567.

Contact Information

Primary practice address
501 Belle Hall Pkwy Unit 102 Mount Pleasant SC 29464-8322
Phone: (843) 225-0567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 12209 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13946CP South Carolina

Profile Details

NPI number 1346751971
LBN Legal business name Wilder, James Tyrone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2017
Last updated Jul 9th, 2021 - about 4 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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