Provider Demographics
NPI:1184750523
Name:WINBURN, JOSEPH D JR (ATC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:D
Last Name:WINBURN
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6 RIALTO CT
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-9392
Mailing Address - Country:US
Mailing Address - Phone:912-819-8826
Mailing Address - Fax:912-691-9067
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-819-8826
Practice Address - Fax:912-691-9067
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAAT0005462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer