Gwendolyn Field Wagoner in Winston Salem - Otolaryngology
Gwendolyn Field Wagoner - NPI 1396955589
Gwendolyn Field Wagoner is a Otolaryngology in Winston Salem, North Carolina. Gwendolyn Field Wagoner practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Gwendolyn Field Wagoner is 1396955589. The last update date is 2019-05-31.
Gwendolyn Field Wagoner's current location address is 110 Charlois Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367683361. The mailing address for Gwendolyn Field Wagoner is 110 Charlois Blvd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Field Wagoner |
|---|---|
| Address | 110 Charlois Blvd, Winston Salem, North Carolina |
| Phone Number | 3367683361 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396955589 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2019-05-31 |
Provider Mailing Address Detail
| Address | 110 Charlois Blvd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271031522 |
| Phone Number | 3367683361 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 2007-00840 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2007-00840 | NC | NC STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gwendolyn Field Wagoner by the Centers for Medicare & Medicaid Services?
The Gwendolyn Field Wagoner has been assigned the NPI (National Provider Identifier) 1396955589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gwendolyn Field Wagoner located?
The Gwendolyn Field Wagoner is located at 110 Charlois Blvd, Winston Salem, NC 271031522.
What is Gwendolyn Field Wagoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gwendolyn Field Wagoner is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
When did the Gwendolyn Field Wagoner receive its 1396955589?
The Gwendolyn Field Wagoner was issued its 1396955589 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
When was the information related to Gwendolyn Field Wagoner most recently updated or refreshed?
The details pertaining to the Gwendolyn Field Wagoner, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-05-31.