Individual
MS. MICHELLE DENISE WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6497 E STRICKLAND, DOUGLASVILLE, GA 30134
(770) 942-7111
Mailing address
6953 CAVE SPRINGS ROAD, DOUGLASVILLE, GA 30134
(612) 987-3342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
030477
GA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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