Individual
MRS. ROSANNA WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
79 CHURCH ST, COCHRAN, GA 31014-4759
(478) 361-0985
Mailing address
79 CHURCH ST, COCHRAN, GA 31014-4759
(478) 361-0985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN222306
GA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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