Whalio Doctors

NPI 1457757510

Michelle Lee Wiley, LPN

Practitioner Licensed Vocational Nurse Fort Stewart, GA

Practice location

Address
1061 Harmon Ave Pediatric Clinic, Fort Stewart, GA 31314-5641
Phone
(912) 435-5555
Fax
(912) 435-5954
Mailing address
1061 Harmon Ave Pediatric Clinic, Fort Stewart, GA 31314-5611

Registered specialties

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence 047769 (NC)

Registry record

NPI
1457757510
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Nov 2014
Record last updated
17 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.