Wiley, Regina Peavy
Wiley, Regina Peavy is an sole proprietor health care provider with primary practice located at 424 Decatur St Se , Atlanta GA 30312-1848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wiley, Regina Peavy can be contacted via phone (678) 843-8600.Contact Information
Primary practice address
424 Decatur St Se
Atlanta GA 30312-1848
Phone: (678) 843-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN247535 | Georgia |
Profile Details
| NPI number | 1083488167 |
|---|---|
| LBN Legal business name | Wiley, Regina Peavy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2023 |
| Last updated | Nov 9th, 2023 - about 3 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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