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Contact Information

DERICK M WENNING, MD
250 HOSPITAL DR
LEXINGTON, NC27292-6792
 Phone: 336-716-4625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DERICK M WENNING · (Male)

NPI Number 1366603235
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2008
Last updated 10/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2011-00547
  • SC License # 31019
  • NC Medicaid 5919684
Hospital affiliation(s)
  • PALMETTO HEALTH RICHLAND - (Acute Care)
    5 RICHLAND MEDICAL PARK
    COLUMBIA, SC 29203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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