Individual
VANESSA MARCY WINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9044
(770) 474-5952
(770) 474-2187
Mailing address
3790 W NANCY CREEK CT NE, ATLANTA, GA 30319-1629
(678) 637-9580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003607
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972775844A
—
GA
Enumeration date
01/19/2010
Last updated
02/06/2026
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