Owens, Wythe Wyndham

Owens, Wythe Wyndham is an individual health care provider with primary practice located at 1420 Tusculum Blvd , Greeneville TN 37745-4279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Owens, Wythe Wyndham can be contacted via phone (423) 787-5021.

Contact Information

Primary practice address
1420 Tusculum Blvd Greeneville TN 37745-4279
Phone: (423) 787-5021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 001485 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 50746 Tennessee

Profile Details

NPI number 1609053198
LBN Legal business name Owens, Wythe Wyndham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Oct 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609053198 NPPES
Tennessee MEDICAID Q006178

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