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