Individual
JENNIFER WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1 MEDICAL CENTER BLVD., SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWER, WINSTON-SALEM, NC 27157
(336) 716-0423
Mailing address
1 MEDICAL CENTER BLVD, SURGERY OUTPATIENT CLINIC - 5TH JANEWAY TOWER, WINSTON SALEM, NC 27157-0001
(505) 702-1166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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