Search › Georgia › 175T00000X

Asa Wynn, CPS-MH/AD, WHWC, FPM

NPI 1932980976 · on the registry since 2023

Practice

Address
30 Sioux Path
Dallas, GA 30132
Phone
(770) 676-2676

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
171400000X
172A00000X
172V00000X
373H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia