Provider Demographics
NPI:1558916080
Name:WINTER, SADIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SADIE
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13280 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3257
Mailing Address - Country:US
Mailing Address - Phone:470-234-0227
Mailing Address - Fax:
Practice Address - Street 1:12540 BROADWELL RD STE 2104
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-6406
Practice Address - Country:US
Practice Address - Phone:470-234-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor