Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 6158 | GA |
NPI | 1033243597 |
---|---|
Provider Name | Dr. William Ralph Winton III |
First Address | Alpharetta, GA 30022-8530 |
Second Address | Alpharetta, GA 30022-8530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |