Provider Demographics
NPI:1669233839
Name:WINDON, INDIA (LPN)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:
Last Name:WINDON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 FAIRBURN RD # 1040
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1068
Mailing Address - Country:US
Mailing Address - Phone:770-525-2553
Mailing Address - Fax:
Practice Address - Street 1:2126 FAIRBURN RD # 1040
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1068
Practice Address - Country:US
Practice Address - Phone:770-525-2553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy