Individual
MYKAH PAYNE WIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5504
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1210
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5009319
NC
Other
Enumeration date
02/24/2017
Last updated
03/19/2021
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