Individual
MRS. GAIL DENISE WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 7 SUITE 300, MARIETTA, GA 30067-5491
(678) 447-8841
Mailing address
2344 STANDING PEACHTREE CT NW, KENNESAW, GA 30152-5845
(516) 528-0605
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
250105
GA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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