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NPI Code Detail

MEDICARE: SONYA WINBORNE P.A.C

MEDICARE:   SONYA  WINBORNE  P.A.C
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
1363A00000XPhysician Assistant002146GA

General Provider Information

NPI Number : 1770698904
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA WINBORNE P.A.C
Provider Business Mailing Address
First Line : 525 WESTPARK DR
Second Line : SUITE 100
City : PEACHTREE CITY
State : GA
Zip : 30269-1575
Country : US
Telephone Number : 770-716-2680
Fax Number : 770-716-2681
Provider Business Practice Location Address
First Line : 525 WESTPARK DR.
Second Line : SUITE 100
City : PEACHTREE CITY
State : GA
Zip : 30214-4549
Country : US
Telephone Number : 770-716-2680
Fax Number : 770-716-2681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 08/25/2009

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Directions to “ SONYA WINBORNE P.A.C” Practice Location

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