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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