Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wyatt Charles Fowler, MD

Individual provider Surgical Oncology Physician · NPI 1730287111

Dr. Wyatt Charles Fowler, MD is a Surgical Oncology Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

125 Queens Rd Ste 430
Charlotte, NC 28204-3215
Phone: (980) 302-6300
Fax: (980) 302-6305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 38940 (NC)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 38940 (NC)

Record details

NPI number1730287111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

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