WILEY S BLACK

GAINESVILLE, GA
NPI1386821007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: GA  009767)
Enumeration Date2008-01-24
Last Update Date2008-01-24
Business Address
-- WILEY S BLACK MD
2626 PARKER TRL
GAINESVILLE, GA 30506-1800
Phone number: 770-532-8608
Mailing Address
-- WILEY S BLACK MD
2626 PARKER TRL
GAINESVILLE, GA 30506-1800
Phone number: 770-532-8608