| Willie M. Winzer Md Pc | |
|
6524 Professional Pl Riverdale GA 30274-2520 | |
| (770) 994-4060 | |
| (770) 994-9435 |
| Full Name | Willie M. Winzer Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6524 Professional Pl, Riverdale, Georgia |
| Authorized Official Name and Position | Willie M Winzer (PRESIDENT) |
| Authorized Official Contact | 7709944060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willie M. Winzer Md Pc 6524 Professional Pl Riverdale GA 30274-2520 Ph: (770) 994-4060 | Willie M. Winzer Md Pc 6524 Professional Pl Riverdale GA 30274-2520 Ph: (770) 994-4060 |
| NPI Number | 1568425551 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568425551 | NPI | - | NPPES |
| 00416512G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 031365 (Georgia) | Primary |
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