Individual
NICKEYA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2748 WINDER HWY, JEFFERSON, GA 30549-5466
(706) 367-4455
Mailing address
2748 WINDER HWY, JEFFERSON, GA 30549-5466
(706) 367-4455
(877) 673-3878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105526
GA
Other
Enumeration date
03/29/2022
Last updated
09/23/2025
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