Individual
MARY WINNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
352 LANGSTON CHAPEL RD, STATESBORO, GA 30458-2478
(931) 261-6645
Mailing address
1710 UPPER HILHAM RD, LIVINGSTON, TN 38570-8152
(931) 261-6645
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002509
GA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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