Individual
DR. MICHELLE HEWLETT WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262-8702
(704) 316-6561
(704) 384-1977
Mailing address
8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262-8702
(704) 316-6573
(704) 384-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
928407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898961E
—
NC
Enumeration date
11/29/2006
Last updated
07/09/2019
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