Wynn, James
Wynn, James is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Wynn, James can be contacted via phone (601) 984-5100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 024126 | Georgia |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 24126 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24126 | Georgia |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 23233 | Mississippi |
Profile Details
| NPI number | 1568573228 |
|---|---|
| LBN Legal business name | Wynn, James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568573228 | NPPES |
| South Carolina | MEDICAID | G24126 | |
| South Carolina | MEDICAID | 07888702 | |
| South Carolina | MEDICAID | 000345364A |
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