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Wiley Black, MD
NPI 1386821007 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2626 Parker Trl
Gainesville, GA 30506 - Phone
- (770) 532-8608
- Fax
- (770) 718-1964
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia