Doctor Name: | MRS. MICHALE L WINKLES |
NPI Number: | 1265772248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSFA |
License Number: | 139732 |
Business Practice Address: | 305 Rose Pointe Ct Bonaire, GA - 310053648 |
Business Phone Number: | 6788484351 |
Business Fax Number: | |
Mailing Address: | 305 Rose Pointe Ct, BONAIRE |
State: | GA |
Postal Code: | 310053648 |
Phone Number: | 6788484351 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2013 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 139732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |