A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Infectious Disease |
207RI0200X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Marriage & Family Therapist |
106H00000X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine |
| NPI # | 1174913677 |
| LBN Legal business name | WYE OAK CLINIC, INC. |
| Authorized official | DAVID CLINE - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/04/2015 |
| Last updated | 02/04/2015 - About 11 years ago |
| Identifiers | n/a |
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