Wiley, Tammie Frazier

Wiley, Tammie Frazier is an individual health care provider with primary practice located at 2808 Maplewood Ave , Winston Salem NC 27103-4138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wiley, Tammie Frazier can be contacted via phone (336) 765-9000.

Contact Information

Primary practice address

2808 Maplewood Ave Winston Salem NC 27103-4138

Phone: (336) 765-9000

Fax: (336) 765-5702

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Pediatrics	208000000X	9800537	North Carolina

Profile Details

NPI number	1326032947
LBN Legal business name	Wiley, Tammie Frazier
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 9th, 2005
Last updated	Nov 21st, 2013 - about 13 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1326032947	NPPES
North Carolina	MEDICAID	891163V

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