Wiley, Gennifer N.
Wiley, Gennifer N. is an individual health care provider with primary practice located at 2550 Windy Hill Rd Se Suite 302, Marietta GA 30067-8665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Wiley, Gennifer N. can be contacted via phone (678) 574-0943.Contact Information
Primary practice address
2550 Windy Hill Rd Se Suite 302
Marietta GA 30067-8665
Phone: (678) 574-0943
Fax: (678) 574-0943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 47277 | Georgia |
Profile Details
| NPI number | 1720075567 |
|---|---|
| LBN Legal business name | Wiley, Gennifer N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Aug 12th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720075567 | NPPES |
| Georgia | MEDICAID | 000825437H | |
| Georgia | MEDICAID | 000825437K | |
| Georgia | MEDICAID | 000825437I | |
| Georgia | MEDICAID | 000825437J | |
| Georgia | MEDICAID | 000825437M | |
| Georgia | MEDICAID | 000825437L |
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