Individual
BRIAN WINGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
859 MOUNT VERNON HWY NE STE 300, ATLANTA, GA 30328-4255
(404) 785-0588
(404) 785-0596
Mailing address
859 MOUNT VERNON HWY NE STE 300, ATLANTA, GA 30328-4255
(404) 785-0588
(404) 785-0596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3990
GA
Other
Enumeration date
07/05/2006
Last updated
03/31/2026
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