Individual provider · Type 1 NPI

Diandrea Wynn, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1417898693 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 727-5658 Map

Mailing address

12 Executive Park Dr NE Ste 142
Atlanta, GA 30329-2206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X112564 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417898693

Diandrea Wynn, MD's National Provider Identifier is 1417898693, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 15, 2026.