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Individual

DR. WINFRY EVANS WHICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 TAYLOR GLEN LN NW, #355, CONCORD, NC 28027-3400
(704) 652-7464
Mailing address
3700 TAYLOR GLEN LN NW, #355, CONCORD, NC 28027-3400
(704) 652-7464

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13948
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2939
GENERAL MEDICAL
NC
Enumeration date
08/19/2010
Last updated
08/19/2010
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