Individual
HENRY GORDON WYNN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4016
(901) 683-1112
Mailing address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4016
(901) 683-1112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55416
TN
Other
Enumeration date
04/03/2013
Last updated
07/21/2022
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