Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY WILLIAM WILEY, M.D.
Active Sole ProprietorPediatrics · WILSON, NC
Registration Details
- NPI Number
- 1457496747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2007 (19.224117690734 yrs)
- Last Updated
- Jul 9, 2007
- License
-
21616 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 GLENDALE DR SWWILSON, NC, 278934401Browse NC providers · Browse ZIP 27893
- Phone
- 2522373141
- Fax
- 2522938301
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WILSON, NC
| Name | Credential | NPI |
|---|---|---|
| IMMACULA SAINT-LOUIS | MD | 1356449144 |
| JAMES R BUSCH | MD | 1780764357 |
| DR. JOHN H BUCK | MD | 1811077209 |
| SUSAN H ANDERSEN | MD | 1891875340 |
| DR. CLARISSA G LAWRENCE | MD | 1306922562 |
| MARIAH MANN MCKELLAR | M.D. | 1760702815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.