Provider Demographics
NPI:1336367580
Name:WINNER, JOHN FREDRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDRICK
Last Name:WINNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3980 SUNDOWN DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3604
Mailing Address - Country:US
Mailing Address - Phone:770-536-2000
Mailing Address - Fax:770-536-3923
Practice Address - Street 1:746 GREEN ST. NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-536-6600
Practice Address - Fax:770-536-3923
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO01963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor