Individual provider · Type 1 NPI

Madison Lynn Wylam

Medical Physician Assistant · Winston Salem, NC

NPI number 1538055710 Active

Practice location

111 Hanestown Ct Ste 151
Winston Salem, NC 27103-1749

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-14818 (NC)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1538055710

Madison Lynn Wylam's National Provider Identifier is 1538055710, issued on Jun 16, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 5, 2025.