DR. LENNON D WYCHE M.D. NPI 1851361240

NPI Information

NPI: 1851361240
Provider Name: DR. LENNON D WYCHE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
5354 REYNOLDS ST
STE 102
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-7554
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DR. Lennon D Wyche, M.D. is a diagnostic radiology radiology in Savannah, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lennon D Wyche, M.D. NPI is 1851361240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5354 REYNOLDS ST
STE 102
SAVANNAH, GA
ZIP 31405-007
Phone: (912) 355-7554
Fax: (912) 355-0988

The enumeration date for this NPI number is 1/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	031160	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B27690	MEDICARE UPIN	GEORGIA
2	30BDGZM	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	00785012A	MEDICAID	GEORGIA
4	1784516	MEDICAID	LOUISIANA
5	701582	OTHER	GEORGIA	BLUECROSS BLUESHIELD GA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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