Wynn, Brett

Wynn, Brett is an sole proprietor health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Wynn, Brett can be contacted via phone (770) 836-9666.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 836-9666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 057269 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37295 Kentucky

Profile Details

NPI number 1063478139
LBN Legal business name Wynn, Brett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jun 8th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063478139 NPPES
Georgia MEDICAID 918889310A

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