WYLDER FONDAW, PA

Physician Assistant

Active Individual
NPI: 1205450400

Practice Address

1126 N CHURCH ST
Greensboro, NC 27401

Phone: (336) 832-7000

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No -
Physician Assistant 363A00000X Yes 0010-10234 (NC)

Frequently Asked Questions

NPI 1205450400 is the National Provider Identifier for WYLDER FONDAW, PA, a Physician Assistant provider located in Greensboro, NC. This NPI was enumerated on June 3, 2020.
WYLDER FONDAW, PA practices at 1126 N CHURCH ST, Greensboro, NC 27401.

Quick Facts

NPI
1205450400
Type
Individual
Enumerated
Jun 3, 2020
Last Updated
Jul 18, 2023

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