BEVERLY WYNNE

MARIETTA, GA
NPI1083012561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: GA  RN079004)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
-- BEVERLY WYNNE APRN
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-792-9808
Mailing Address
-- BEVERLY WYNNE APRN
4120 BRIGADE TRL NW
KENNESAW, GA 30152-7722
Phone number: 770-424-6172
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