Dr GWENDOLYN WAGONER is a female medical professional, specializing in Otolaryngology. She graduated in 2002.
PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A.
197 STADIUM OAKS DR A
CLEMMONS
NC
270128962
Tel: 3362934819
| Npi | 1396955589 |
| Pac Id | 7416041702 |
| Professional Enrollment Id | I20070918000077 |
| Last Name | WAGONER |
| First Name | GWENDOLYN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. |
| Group Practice Pac Id | 4486617032 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 197 STADIUM OAKS DR A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CLEMMONS |
| State | NC |
| Zip Code | 270128962 |
| Phone Number | 3362934819 |
| Hospital Affiliation Ccn 1 | 340014 |
| Hospital Affiliation Lbn 1 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 340003 |
| Hospital Affiliation Lbn 2 | NORTHERN HOSPITAL OF SURRY COUNTY |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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