Brett Wynn M.D.

NPI 1063478139 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063478139
Gender Male
Enumeration Date 04/26/2006
Last Updated 06/08/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
705 DIXIE ST
CARROLLTON GA, 30117-3818, US
Phone (770) 836-9666
Fax
Business Location
157 CARSON PL
CARROLLTON GA, 30117-4647, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Kentucky
License Number 37295
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According to our database, Brett Wynn M.D. NPI is 1063478139, taxonomy code is 207P00000X and license number is 37295, license state is located at Kentucky. Brett Wynn M.D. physically located at 705 Dixie St, Carrollton GA, 30117-3818. NPI Number Brett Wynn M.D. has the Individual type.

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1063478139 NPI number is provided on an as is basis without warranty of any kind. 1063478139 is maintained by the National Plan & Provider Enumeration System. The contents of Brett Wynn M.D. are for informational purposes only.