Individual
THOMAS NIELSEN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
843 W STUART DR, HILLSVILLE, VA 24343-1577
(276) 728-9323
Mailing address
1711 SW 27TH PL, OCALA, FL 34471-7802
(352) 789-2742
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002440
VA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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