Organization
TONI WYMER, M.D. LTD
Active
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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