Individual
MRS. RENEE WYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 HAMPSTEAD LN NE, ROSWELL, GA 30075-5263
(678) 595-4199
Mailing address
128 WOODSTOCK RD, ROSWELL, GA 30075-3548
(678) 595-4199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
02/25/2021
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