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NPI Code Detail

MEDICARE: DR. WILEY DARRO THUET M.D.

MEDICARE: DR. WILEY DARRO THUET M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianQ3819TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902168024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILEY DARRO THUET M.D.
Provider Business Mailing Address
First Line : 4085 CREEKSIDE CT
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27127-7384
Country : US
Telephone Number : 435-233-0032
Fax Number :
Provider Business Practice Location Address
First Line : WAKE FOREST BAPTIST HOSPITAL
Second Line : MEDICAL CENTER BOULEVARD
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 12/10/2025

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