Wiles, Marie Buchanan

Wiles, Marie Buchanan is an individual health care provider with primary practice located at 514W Atlantic St , South Hill VA 23970-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wiles, Marie Buchanan can be contacted via phone (434) 447-6969.

Contact Information

Primary practice address
514W Atlantic St South Hill VA 23970-1906
Phone: (434) 447-6969
Fax: (434) 447-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002166 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00268 North Carolina

Profile Details

NPI number 1861594376
LBN Legal business name Wiles, Marie Buchanan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Feb 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861594376 NPPES
Virginia MEDICAID 1861594376
Virginia Other 1861594376

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