Individual
SUSAN D. WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 ABBEY PL STE 102, CHARLOTTE, NC 28209-3711
(704) 522-6656
(704) 522-6665
Mailing address
1700 ABBEY PL STE 102, CHARLOTTE, NC 28209-3711
(704) 522-6656
(704) 522-6665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9501464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989637
—
NC
Enumeration date
09/01/2006
Last updated
06/29/2020
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