NPI Profile for ORLENA WYATT in LOCUST GROVE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gastroenterology |
163WG0100X |
| NPI Number | 1851791446 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/02/2014 | |
| Last updated | 09/02/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ORLENA WYATT
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