MEDICARE: WINLACE MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326929662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINLACE MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	300 LESTER MILL RD STE 160
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-5311
Country	:	US
Telephone Number	:	770-284-3219
Fax Number	:	770-564-8780

Provider Business Practice Location Address
First Line	:	300 LESTER MILL RD STE 160
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-5311
Country	:	US
Telephone Number	:	770-284-3219
Fax Number	:	770-564-8780

Authorized Official
Title or Position	:	OWNER
Name	:	WINIFRED PIERRE
Credential	:
Telephone Number	:	770-703-0097

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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Directions to “WINLACE MEDICAL SUPPLIES ” Practice Location

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