Doctor Name: | DR. LARRY S WINSBERG |
NPI Number: | 1124363536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 000321 |
Business Practice Address: | 2210 Brendon Dr Dunwoody, GA - 303384506 |
Business Phone Number: | 7704571720 |
Business Fax Number: | |
Mailing Address: | 2210 Brendon Dr, DUNWOODY |
State: | GA |
Postal Code: | 303384506 |
Phone Number: | 7704571720 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 000321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |