Individual
JAVELLE A. WYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 736-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2491
(803) 794-5960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303868
NY
207RG0100X
Gastroenterology Physician
0101272196
VA
207RG0100X
Gastroenterology Physician
2024-00389
NC
207RG0100X
Gastroenterology Physician
24262
ND
207RG0100X
Gastroenterology Physician
291699
MA
207RG0100X
Gastroenterology Physician
303868
NY
207RG0100X
Gastroenterology Physician
Primary
97016
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110191412A
—
MA
Enumeration date
04/03/2014
Last updated
08/03/2026
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