Organization
WYATT & DAD, INC.
Active
Organization
WYATT & DAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY S WYATT (CEO/PRESIDENT)
(336) 765-4392
Entity
Organization
Contact information
Practice address
3911 COUNTRY CLUB RD, WINSTON-SALEM, NC 27104-2914
(336) 765-4392
(336) 765-8555
Mailing address
3911 COUNTRY CLUB RD, WINSTON-SALEM, NC 27104-2914
(336) 765-4392
(336) 765-8555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704216
—
NC
Enumeration date
04/04/2006
Last updated
09/11/2025
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