Individual
WINSTON LIBURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 GEORGIAN HILLS DR, LAWRENCEVILLE, GA 30045-8697
(404) 750-2378
Mailing address
840 GEORGIAN HILLS DR, LAWRENCEVILLE, GA 30045-8697
(404) 750-2378
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO112118
CO
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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