Provider Demographics
NPI:1619003647
Name:WINSTON KYLE CARHEE JR
Entity Type:Organization
Organization Name:WINSTON KYLE CARHEE JR
Other - Org Name:PAIN 2 WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:CARHEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:404-699-0966
Mailing Address - Street 1:3915 CASCADE RD SW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8512
Mailing Address - Country:US
Mailing Address - Phone:404-699-0966
Mailing Address - Fax:404-699-0988
Practice Address - Street 1:3910 CASCADE RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7240
Practice Address - Country:US
Practice Address - Phone:404-699-0966
Practice Address - Fax:404-699-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO7578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU9985Medicare UPIN
GA35ZCJWFMedicare PIN