Individual
MS. WILLANE A. WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9820 CALLABRIDGE CT, CHARLOTTE, NC 28216-7669
(704) 398-9115
(704) 392-3141
Mailing address
1948 OROVILLE CT, CHARLOTTE, NC 28214-2567
(704) 575-6796
(704) 392-3141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1824
NC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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