Wynn, Asa

Wynn, Asa is an individual health care provider with primary practice located at 30 Sioux Path , Dallas GA 30132-1620. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Community Health Worker, Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Wynn, Asa can be contacted via phone (770) 676-2676.

Contact Information

Primary practice address
30 Sioux Path Dallas GA 30132-1620
Phone: (770) 676-2676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Georgia
Other Service Providers / Peer Specialist 175T00000X Georgia

Profile Details

NPI number 1932980976
LBN Legal business name Wynn, Asa
Credentials CPS-MH/AD, WHWC, FPM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2023
Last updated Oct 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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