OrganizationToni Wymer, M.D. Ltd(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503(336) 774-0920(336) 774-9000PECOS EnrollmentBased on the most recent information from CMS, provider Toni Wymer, M.D. Ltd 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 ID1972639854Provider TypeOrganizationFull NameToni Wymer, M.D. LtdOther Name<Unavail>SubpartNoEnumeration Date2/26/2007Last Updated3/21/2011Contact InformationPractice LocationPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-0920Fax(336) 774-9012Mailing LocationMailing Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-9000Fax(336) 774-9012Authorized OfficialNameWymer, Antoinette (Its President)Phone(336) 774-0290Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense33772North CarolinaProvider IdentifiersIDDescriptionIssuerID33772DescriptionOtherIssuerSTATE LICENSE NUMBERNorth Carolina