Individual
NINA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
665 DULUTH HWY STE 501, LAWRENCEVILLE, GA 30046-8709
(678) 312-0400
Mailing address
665 DULUTH HWY STE 501, LAWRENCEVILLE, GA 30046-8709
(678) 312-0400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
06/24/2025
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