Individual
DR. LENNON D WYCHE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5354 REYNOLDS ST, STE 102, SAVANNAH, GA 31405-6007
(912) 355-7554
(912) 355-0988
Mailing address
PO BOX 8006, SAVANNAH, GA 31412-8006
(912) 355-7554
(912) 355-0988
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
031160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00785012A
—
GA
05
—
1784516
—
LA
01
—
701582
BLUECROSS BLUESHIELD GA
GA
Enumeration date
01/26/2006
Last updated
07/08/2007
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