Individual
ROBERT ALEXANDER WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0382
(912) 754-0225
Mailing address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0382
(912) 754-0225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
056939
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264241741A
—
GA
Enumeration date
04/11/2006
Last updated
09/28/2024
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