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1912930009
BRIAN EDWARD WYSONG
GASTONIA, NC
NPI
1912930009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2006-00934)
Enumeration Date
2006-07-09
Last Update Date
2023-11-14
Business Address
Dr. BRIAN EDWARD WYSONG MD
2290 REMOUNT RD
GASTONIA, NC 28054-4725
Phone number: 704-867-1402
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Mailing Address
Dr. BRIAN EDWARD WYSONG MD
2550 COURT DR STE 201
GASTONIA, NC 28054-2152
Phone number: 704-867-1402
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