Individual
MR. WAYNE MARTIN COMER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 873-0281
(704) 838-7261
Mailing address
207 S GREENBRIAR RD, STATESVILLE, NC 28625-4717
(704) 872-4675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051250/8000282
—
NC
Enumeration date
02/20/2006
Last updated
07/08/2007
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