Individual
LAVONNE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
(912) 265-2683
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
(912) 265-2683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN042873
GA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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