MR. Wylder Fondaw, PA is a medical physician assistant in Greensboro, NC. MR. Wylder Fondaw, PA NPI is 1205450400. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1126 N CHURCH ST
GREENSBORO, NC
ZIP 27401-000
Phone: (336) 832-7000
The NPI 1205450400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/3/2020 and was last updated on 6/3/2020.