NPI 1629200910

Gerald Everett Wynne, DO

Practitioner General Practice Physician Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-6965

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2178 (TN)

Other General Practice providers in Georgia →

Registry record

NPI: 1629200910
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2009
Record last updated: 21 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.