Provider Demographics
NPI:1669811626
Name:GREENWOOD, WESLEY JAMES (MD)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:JAMES
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 FORTE RD
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-8522
Mailing Address - Country:US
Mailing Address - Phone:910-485-6228
Mailing Address - Fax:910-485-3311
Practice Address - Street 1:114 FORTE RD
Practice Address - Street 2:
Practice Address - City:STEDMAN
Practice Address - State:NC
Practice Address - Zip Code:28391-8522
Practice Address - Country:US
Practice Address - Phone:910-485-6228
Practice Address - Fax:910-485-3311
Is Sole Proprietor?:No
Enumeration Date:2013-06-22
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC191183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine