Most Relevant Information
Provider Data
| NPI Number: | 1003566118 |
| Provider Name: | JENNIFER WYLIE MD, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2022 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
1 MEDICAL CENTER BLVD.
SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWER
WINSTON-SALEM
NC
27157
Practice Location Phone/Fax
| Phone: | 3367160423 |
| Fax: |
Provider Mailing Location
1 MEDICAL CENTER BLVD
SURGERY OUTPATIENT CLINIC - 5TH JANEWAY TOWER
WINSTON SALEM
NC
271570001
Provider Mailing Phone/Fax
| Phone: | 5057021166 |
| Fax: |