Organization
CARL E WINGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA CAROLYN KELLY (OFFICE MANAGER)
(615) 329-9082
Entity
Organization
Contact information
Practice address
345 23RD AVE N, SUITE 209, NASHVILLE, TN 37203-1513
(615) 329-9082
(615) 329-2423
Mailing address
345 23RD AVE N, SUITE 209, NASHVILLE, TN 37203-1513
(615) 329-9082
(615) 329-2423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD15285
TN
174400000X
Specialist
Primary
MD18157
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819046
DR BARBARA NYLANDER NPI
TN
01
—
1700889664
DR CARL WINGO NPI
TN
Enumeration date
12/29/2006
Last updated
08/22/2020
Update your record
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