Individual
GEORGE RAYFIELD WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6897 BRADY HILL DR, CORDOVA, TN 38018-2884
(805) 889-4370
Mailing address
6897 BRADY HILL DR, CORDOVA, TN 38018-2884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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