Individual
DR. GERALD EVERETT WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2178
TN
Other
Enumeration date
08/20/2009
Last updated
07/21/2019
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