Individual
OSSIAN B. WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 E. KINGS HIGHWAY, EDEN, NC 27288-5201
(336) 623-9711
(336) 623-7660
Mailing address
117 E. KINGS HIGHWAY, EDEN, NC 27288-5201
(336) 623-9711
(336) 623-7660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907737
—
NC
Enumeration date
04/14/2006
Last updated
03/24/2014
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