| Antoinette Wymer M.d. | |
|
201 Executive Park Blvd Winston Salem NC 27103-1503 | |
| (336) 774-0920 | |
| (336) 774-9012 |
| Full Name | Antoinette Wymer M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Executive Park Blvd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Antoinette Wymer (ITS PRESIDENT) |
| Authorized Official Contact | 3367740290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antoinette Wymer M.d. 201 Executive Park Blvd Winston Salem NC 27103-1503 Ph: (336) 774-9000 | Antoinette Wymer M.d. 201 Executive Park Blvd Winston Salem NC 27103-1503 Ph: (336) 774-0920 |
| NPI Number | 1972639854 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972639854 | NPI | - | NPPES |
| 33772 | Other | NC | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33772 (North Carolina) | Primary |
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