Organization
TONI WYMER, M.D. LTD
Active
Other names
Antoinette Wymer M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE WYMER M.D. (ITS PRESIDENT)
(336) 774-0290
Entity
Organization
Contact information
Practice address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 774-0920
(336) 774-9012
Mailing address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 774-9000
(336) 774-9012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33772
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33772
STATE LICENSE NUMBER
NC
Enumeration date
02/26/2007
Last updated
03/21/2011
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