SearchMississippi237700000X

Robert Wylie, BC-HIS

NPI 1609177179 · on the registry since 2010 · sole proprietor

Practice

Address
100 Larosa Rd
Ste D
Long Beach, MS 39560
Phone
(228) 863-8050
Fax
(228) 863-1693

Registry record

Primary taxonomy
237700000X
237700000X
Also registered as
237700000X
237700000X
Licence states on file
MS, AL, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-15

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 Mississippi