Individual
ELIZABETH JEAN WYNJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
310 HOSPITAL AVENUE, JEFFERSON, NC 28640
(336) 846-6322
(336) 846-1702
Mailing address
310 HOSPITAL AVENUE, JEFFERSON, NC 28640
(336) 846-6322
(336) 846-1702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01118
NC
363AM0700X
Medical Physician Assistant
0010-01118
NC
Other
Enumeration date
10/25/2007
Last updated
06/10/2024
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