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Contact Information

MELORA WILEY, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5239
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MELORA WILEY · (Female)

NPI # 1942646161
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2013
Last updated 09/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 27-131
  • MS License # 27131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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