Female

Dr. Avanthika T. Wynn M.D.

Pulmonary Disease Physician in Atlanta, GA(View on Map)

Full Name

Dr. Avanthika Thanushi Wynn M.D.

NPI Number

1124306006

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/27/2011

Specialties

(Taxonomies)

Code

207RP1001X
208M00000X
207R00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Georgia
New York

License Number

79142
275177

Contact
Information

Purpose

Mailing
Location

Address

5665 PEACHTREE DUNWOODY RD
5665 PEACHTREE DUNWOODY RD

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30342-1764
30342-1764

Country

US
US

Telephone Number

(678) 843-6497
(678) 843-6497

Identifiers

Identifier

03007063/NWK
03007072/OPD
01131126/RGH

Identifier State

NY
NY
NY

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/10/2019

Provider Address

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