S. Wyatt, Pllc | |
7457 Mook Ct Mechanicsville VA 23111-1452 | |
(804) 615-9904 | |
Not Available |
Full Name | S. Wyatt, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 7457 Mook Ct, Mechanicsville, Virginia |
Authorized Official Name and Position | Sheron T Wyatt (MD/OWNER) |
Authorized Official Contact | 8044832617 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S. Wyatt, Pllc 7457 Mook Ct Mechanicsville VA 23111-1452 Ph: (804) 615-9904 | S. Wyatt, Pllc 7457 Mook Ct Mechanicsville VA 23111-1452 Ph: (804) 615-9904 |
NPI Number | 1447811443 |
---|---|
Provider Enumeration Date | 06/21/2019 |
Last Update Date | 08/10/2023 |
Medicare PECOS PAC ID | 9739416660 |
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Medicare Enrollment ID | O20190814003201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447811443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sheron T Wyatt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
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