Individual
DERICK M WENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 716-4625
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2011-00547
NC
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
31019
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919684
—
NC
Enumeration date
06/23/2008
Last updated
10/19/2021
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