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NPI Code Detail

MEDICARE: COURTNEY PAIGE WILEY MD

MEDICARE: COURTNEY PAIGE WILEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician111478GA

General Provider Information

NPI Number : 1801472451
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY PAIGE WILEY MD
Provider Business Mailing Address
First Line : 1441 PEACHTREE ST NE UNIT 1519
Second Line :
City : ATLANTA
State : GA
Zip : 30309-5228
Country : US
Telephone Number : 864-634-1342
Fax Number :
Provider Business Practice Location Address
First Line : 49 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3049
Country : US
Telephone Number : 404-778-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 06/05/2026

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Directions to “ COURTNEY PAIGE WILEY MD” Practice Location

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