Individual
MR. MARK D WINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5610 BETHELVIEW RD, STE 500A, CUMMING, GA 30040-7522
(770) 205-2804
(770) 205-2854
Mailing address
5610 BETHELVIEW RD, STE 500A, CUMMING, GA 30040-7522
(770) 205-2804
(770) 205-2854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52028255013
BLUECROSS BLUESHIELD
GA
Enumeration date
07/23/2006
Last updated
02/26/2021
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