Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 026201 | GA |
NPI | 1003982000 |
---|---|
Provider Name | Winkler G Weinberg |
First Address | Atlanta, GA 30305-1717 |
Second Address | Atlanta, GA 30339-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 28/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D31281 | (02) |