Winokur, Vanessa Marcy

Winokur, Vanessa Marcy is an individual health care provider with primary practice located at 210 Village Center Pkwy , Stockbridge GA 30281-9044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Winokur, Vanessa Marcy can be contacted via phone (770) 474-5952.

Contact Information

Primary practice address
210 Village Center Pkwy Stockbridge GA 30281-9044
Phone: (770) 474-5952
Fax: (770) 474-2187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003607 Georgia

Profile Details

NPI number 1609107457
LBN Legal business name Winokur, Vanessa Marcy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2010
Last updated Jun 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609107457 NPPES
Georgia MEDICAID 972775844A

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