Wynn, Carlos Mikkel

Wynn, Carlos Mikkel is an sole proprietor health care provider with primary practice located at 545 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3389. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Wynn, Carlos Mikkel can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
545 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3389
Phone: (678) 377-2833
Fax: (678) 377-2882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT006330 Georgia

Profile Details

NPI number 1124485602
LBN Legal business name Wynn, Carlos Mikkel
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2016
Last updated Jan 28th, 2016 - about 9 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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