Individual
AMY BEISSWANGER YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2909 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4009
(336) 794-3380
(336) 794-3378
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-00685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907388
—
NC
Enumeration date
05/16/2007
Last updated
07/13/2009
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