Individual
MRS. MICHELLE D WINHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
314 N BROAD ST, SUITE 340, WINDER, GA 30680-2191
(770) 867-2120
(770) 867-2140
Mailing address
4110 ASHWOODY TRL NE, ATLANTA, GA 30319-1406
(679) 997-1616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001124
GA
Other
Enumeration date
02/09/2006
Last updated
08/19/2010
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