Search › North Carolina › 207V00000X
Jessica Deane-Wyman, MD
NPI 1366769044 · on the registry since 2010
Practice
- Address
- 2100 S Tryon St
Ste 201
Charlotte, NC 28203 - Phone
- (704) 316-3000
- Fax
- (704) 316-3001
- Organisation at this address
- Novant Medical Group, Inc.
Raghav Sundaresh 4 Dds Pllc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 2400 South Blvd Ste 103, Charlotte, NC
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina