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Individual

JONATHAN D WINNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1140 HAMMOND DR NE, SUITE E5250, ATLANTA, GA 30328-5338
(404) 256-2688
(404) 256-1820
Mailing address
333 SANDY SPRINGS CIR NE, SUITE 207, ATLANTA, GA 30328-3897
(404) 705-8990
(404) 705-9984

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
013706
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00692425A
GA
05
00692425C
GA
Enumeration date
07/29/2005
Last updated
07/08/2007
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