Gina Wyatt

NPI 1801158746 · on the registry since 2012 · sole proprietor

Practice

Address: 2778 Country Club Dr
Hampstead, NC 28443
Phone: (910) 270-5223
Organisation at this address: Powerback Rehabilitation Llc
Woodbury Wellness Center Inc
Michael G. Rallis, M.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina