Healthcare Provider Details

I. General information

NPI: 1114245834
Provider Name (Legal Business Name): DANIEL WINKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 EXECUTIVE PARK DR NE DEPARTMENT OF NEUROLOGY
ATLANTA GA
30329-2206
US

IV. Provider business mailing address

12 EXECUTIVE PARK DR NE DEPARTMENT OF NEUROLOGY
ATLANTA GA
30329-2206
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-5943
  • Fax: 404-727-3157
Mailing address:
  • Phone: 404-778-5943
  • Fax: 404-727-3157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number073883
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number73883
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: