Provider Demographics
NPI:1952622805
Name:WINGLER, CODY ADAM (MD)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:ADAM
Last Name:WINGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1668 NC HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-6285
Mailing Address - Country:US
Mailing Address - Phone:828-632-9736
Mailing Address - Fax:828-632-9544
Practice Address - Street 1:1668 NC HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-6285
Practice Address - Country:US
Practice Address - Phone:828-632-9736
Practice Address - Fax:828-632-9544
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201101750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine