Provider Demographics
NPI:1023822624
Name:WYNN, WILLIAM RAMSEY (EMT-PARAMEDIC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RAMSEY
Last Name:WYNN
Suffix:
Gender:M
Credentials:EMT-PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NEWNAN RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30116-6427
Mailing Address - Country:US
Mailing Address - Phone:770-830-5888
Mailing Address - Fax:
Practice Address - Street 1:1000 NEWNAN RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30116-6427
Practice Address - Country:US
Practice Address - Phone:770-830-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAP028470146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic