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:
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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326032947 | NPPES |
North Carolina | MEDICAID | 891163V |
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