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NPI Code Detail

MEDICARE: DR. RUTH MARIE WIELAND MD

MEDICARE: DR. RUTH MARIE WIELAND 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
1207R00000XInternal Medicine Physician2013-02353NC
2207R00000XInternal Medicine Physician37233SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184622607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTH MARIE WIELAND MD
Provider Business Mailing Address
First Line : PO BOX 3439
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-0439
Country : US
Telephone Number : 843-839-4447
Fax Number :
Provider Business Practice Location Address
First Line : 3361 HIGHWAY 9 E
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566-7826
Country : US
Telephone Number : 843-497-5929
Fax Number : 866-778-9613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 01/22/2025

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Directions to “ DR. RUTH MARIE WIELAND MD” Practice Location

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