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Contact Information

BLAKE A WYNIA, MD
48 CENTENNIAL WAY
GREENVILLE, SC29605-4662
 Phone: 864-455-1600
 Fax: 864-522-8005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BLAKE A WYNIA · (Male)

NPI # 1942591961
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2011
Last updated 02/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 40721
  • SC Medicaid 407214
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • GREER MEMORIAL HOSPITAL - (Acute Care)
    830 SOUTH BUNCOMBE ROAD
    GREER, SC 29650
  • HILLCREST MEMORIAL HOSPITAL - (Acute Care)
    729 SOUTH EAST MAIN STREET
    SIMPSONVILLE, SC 29681
  • PATEWOOD MEMORIAL HOSPITAL - (Acute Care)
    175 PATEWOOD DRIVE
    GREENVILLE, SC 29615
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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