Healthcare Provider Details

I. General information

NPI: 1740202951
Provider Name (Legal Business Name): NEIL H WINAWER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE EMORY CRAWFORD LONG HOSPITAL - HOSPITAL MEDICINE DEPT
ATLANTA GA
30308-2247
US

IV. Provider business mailing address

550 PEACHTREE ST NE EMORY CRAWFORD LONG HOSPITAL - HOSPITAL MEDICINE DEPT
ATLANTA GA
30308-2247
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-7869
  • Fax: 404-778-5495
Mailing address:
  • Phone: 404-686-7869
  • Fax: 404-778-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number042490
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: