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
Fax: (336) 765-5702
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326032947 NPPES
North Carolina MEDICAID 891163V

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