Healthcare Provider Details

I. General information

NPI: 1679495576
Provider Name (Legal Business Name): REBEKAH WINTERS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AUBURN AVE NE
ATLANTA GA
30303-2504
US

IV. Provider business mailing address

100 AUBURN AVE NE
ATLANTA GA
30303-2504
US

V. Phone/Fax

Practice location:
  • Phone: 404-413-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN336812
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: