Provider Demographics
NPI:1376524017
Name:WINSTON, STEPHEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:E
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 MIDDLE ST
Mailing Address - Street 2:STE B
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1766
Mailing Address - Country:US
Mailing Address - Phone:251-928-1191
Mailing Address - Fax:251-928-4529
Practice Address - Street 1:770 MIDDLE ST
Practice Address - Street 2:STE B
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1766
Practice Address - Country:US
Practice Address - Phone:251-928-1191
Practice Address - Fax:251-928-4529
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00019844173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051026573OtherBLUE CROSS PROVIDER NO
AL051026573OtherBLUE CROSS PROVIDER NO
AL000026573Medicare ID - Type Unspecified