Provider Demographics
NPI:1659459071
Name:WOODYEAR, WYNNE E (MD)
Entity Type:Individual
Prefix:DR
First Name:WYNNE
Middle Name:E
Last Name:WOODYEAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:1208 EASTCHESTER DR
Practice Address - Street 2:SUITE 107
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3170
Practice Address - Country:US
Practice Address - Phone:336-802-2900
Practice Address - Fax:336-802-2901
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2014-02-18
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Provider Licenses
StateLicense IDTaxonomies
NC39142207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7989173Medicaid
NC2149592GMedicare PIN
NC7989173Medicaid