Brett Wynn in Carrollton - Emergency Medical Services

Brett Wynn - NPI 1063478139

Brett Wynn is a Emergency Medical Services in Carrollton, Georgia. Brett Wynn practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Brett Wynn is 1063478139. The last update date is 2015-06-08.

Brett Wynn's current location address is 705 Dixie St, Carrollton, Georgia. You can contact this provider via phone number 7708369666. The mailing address for Brett Wynn is 705 Dixie St, Carrollton, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Brett Wynn
Address 705 Dixie St, Carrollton, Georgia
Phone Number 7708369666
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1063478139
Provider Enumeration Date 2006-04-26
Last Updated Date 2015-06-08

Provider Mailing Address Detail

Address 705 Dixie St
City Carrollton
State Georgia (GA)
Post Code 301173818
Phone Number 7708369666
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 57269
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
918889310A GA --

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FAQs about Brett Wynn

What is the unique identifier code issued to Brett Wynn by the Centers for Medicare & Medicaid Services?

The Brett Wynn has been assigned the NPI (National Provider Identifier) 1063478139. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Brett Wynn is physically located?

The Brett Wynn is situated at the following address: 705 Dixie St, Carrollton, GA 301173818.

What is the Brett Wynn's specialty and taxonomy code?

The Brett Wynn's specialty is Emergency Medical Services, and the corresponding taxonomy code is 207Pe0004X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063478139 to Brett Wynn?

The Centers for Medicare & Medicaid Services assigned the 1063478139 to Brett Wynn on 2006-04-26.

When was the information pertaining to Brett Wynn most recently updated or revised?

The details related to Brett Wynn, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-08.

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