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Wiley Branch

NPI 1942979232 · on the registry since 2021 · sole proprietor

Practice

Address
89 W Cedar St
Durant, MS 39063
Phone
(662) 417-3159

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Male
Record last updated
2021-09-09

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