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Individual

ALAN DANIEL WINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046-7766
(678) 312-3500
(678) 312-3529
Mailing address
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046-7766
(678) 312-3500
(678) 312-3529

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
041245
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000968217D
GA
01
202I784495
MEDICARE PTAN
GA
Enumeration date
08/23/2006
Last updated
10/02/2024
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