Provider Demographics
NPI:1568587582
Name:WINTON CHIROPRACTIC HEALTH CLINIC
Entity Type:Organization
Organization Name:WINTON CHIROPRACTIC HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:WINTON
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:770-640-6020
Mailing Address - Street 1:8465 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 680
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8530
Mailing Address - Country:US
Mailing Address - Phone:770-640-6020
Mailing Address - Fax:770-640-0782
Practice Address - Street 1:8465 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 680
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8530
Practice Address - Country:US
Practice Address - Phone:770-640-6020
Practice Address - Fax:770-640-0782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6158111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty