Wynn, James

Wynn, James is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Wynn, James can be contacted via phone (601) 984-5100.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

Profile Details

NPI number 1568573228
LBN Legal business name Wynn, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 5th, 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 1568573228 NPPES
South Carolina MEDICAID G24126
South Carolina MEDICAID 07888702
South Carolina MEDICAID 000345364A

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