Organization
US DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
US DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY DEAN WINTER CP (PROSTHETIST)
(404) 321-6111
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
7675 LANIER VIEW RDG, CUMMING, GA 30041-2162
(770) 844-1909
Taxonomy
Speciality
Code
Description
License number
State
261QA0900X
Amputee Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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