JAY WILES

COLUMBIA, SC
NPI1952810525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TH0004X Psychologist, Health
(Licence: VA  0810005806)
Enumeration Date2017-09-26
Last Update Date2017-09-26
Business Address
JAY WILES
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
JAY WILES
231 BEACONS FIELD RD
COLUMBIA, SC 29209-5096
Phone number: 864-420-3605
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