Individual ProviderAntoinette WymerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503(336) 774-9000PECOS EnrollmentBased on the most recent information from CMS, provider Antoinette Wymer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225212624Provider TypeIndividualFull NameWymer, AntoinetteTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date12/20/2007Last Updated3/22/2011Contact InformationPractice LocationPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-9000Fax(336) 774-9012Mailing LocationMailing Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-9000Fax(336) 774-9012Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense33772North Carolina