Individual
DR. WYATT CHARLES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 QUEENS RD STE 430, CHARLOTTE, NC 28204-3215
(980) 302-6300
(980) 302-6305
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38940
NC
2086X0206X
Surgical Oncology Physician
38940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10272
BLUE CROSS AND BLUE SHIEL
NC
05
—
8910272
—
NC
05
—
N38940
—
SC
Enumeration date
09/20/2006
Last updated
08/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us