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Individual

DR. RICHARD STEVEN WINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11685 ALPHARETTA HWY, SUITE 210, ROSWELL, GA 30076-4913
(770) 442-1150
(770) 772-0416
Mailing address
11685 ALPHARETTA HWY, SUITE 210, ROSWELL, GA 30076-4913
(770) 442-1150
(770) 772-0416

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026412
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00290804B
GA
Enumeration date
02/20/2007
Last updated
07/08/2007
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