MEDICARE: STACYANN WINT-BARNES

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	251E00000X	Home Health Agency		GA

General Provider Information

NPI Number	:	1598471286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACYANN WINT-BARNES

Provider Business Mailing Address
First Line	:	601 COLEMAN ST
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1041
Country	:	US
Telephone Number	:	678-683-5435
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 COLEMAN ST
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1041
Country	:	US
Telephone Number	:	770-703-1785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	01/25/2023

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Directions to “ STACYANN WINT-BARNES ” Practice Location

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