Wayland W Mckenzie Md Pa

LBN: Wayland W Mckenzie Md Pa
Wayland W Mckenzie Md Pa is an health care organization with primary practice located at 500 Banner Ave Ste A , Greensboro NC 27401-3284. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wayland W Mckenzie Md Pa can be contacted via phone (336) 273-8638, or through Mckenzie, Wayland Wilson via phone (336) 273-8638.

Contact Information

Primary practice address
500 Banner Ave Ste A Greensboro NC 27401-3284
Phone: (336) 273-8638
Fax: (336) 274-0146
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Wayland Wilson Doctor of Medicine (MD)
Phone: (336) 273-8638

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 19760 North Carolina

Profile Details

NPI number 1285865329
LBN Legal business name Wayland W Mckenzie Md Pa
DBA Doing business as
Authorized official Mckenzie, Wayland Wilson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2009
Last updated May 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285865329 NPPES
North Carolina MEDICAID 8957131

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