| Mary Elizabeth Wiles, Do, Pc | |
|
374a Pat Haralson Dr Blairsville GA 30512-8409 | |
| (706) 745-5541 | |
| Not Available |
| Full Name | Mary Elizabeth Wiles, Do, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 374a Pat Haralson Dr, Blairsville, Georgia |
| Authorized Official Name and Position | Mary Elizabeth Wiles (CEO) |
| Authorized Official Contact | 7067455541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Wiles, Do, Pc Po Box 1000 Blairsville GA 30514-1000 Ph: (706) 745-5541 | Mary Elizabeth Wiles, Do, Pc 374a Pat Haralson Dr Blairsville GA 30512-8409 Ph: (706) 745-5541 |
| NPI Number | 1588082465 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 04/22/2014 |
| Medicare PECOS PAC ID | 2668697269 |
|---|---|
| Medicare Enrollment ID | O20140715000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588082465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Elizabeth Wiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598056897 PECOS PAC ID: 7012132616 Enrollment ID: I20140915002574 |
| Provider Name | Suzanna G Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396124079 PECOS PAC ID: 7012223944 Enrollment ID: I20160217000248 |
| Provider Name | Cameron Joel Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497364954 PECOS PAC ID: 9234529140 Enrollment ID: I20211210001099 |
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