MEDICARE: KERRI WINSTON PH.D., L.AC.

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	171100000X	Acupuncturist	000134	GA
2	171100000X	Acupuncturist	AC9739	CA

General Provider Information

NPI Number	:	1609088046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI WINSTON PH.D., L.AC.

Provider Business Mailing Address
First Line	:	3115 PIEDMONT RD NE
Second Line	:	SUITE E-102
City	:	ATLANTA
State	:	GA
Zip	:	30305-2529
Country	:	US
Telephone Number	:	404-949-0550
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 PIEDMONT RD NE
Second Line	:	SUITE E-102
City	:	ATLANTA
State	:	GA
Zip	:	30305-2529
Country	:	US
Telephone Number	:	404-949-0550
Fax Number	:

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

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	07/20/2015

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