Individual provider · Type 1 NPI
Winston Douglas Ii
Acute Care Nurse Practitioner · Marietta, GA
NPI number
1285268904
Active
Practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
677 Church St NE Ste 100N
Marietta, GA 30060-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN216043 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1285268904
Winston Douglas Ii's National Provider Identifier is 1285268904, issued on Mar 3, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Marietta, GA. The record was last updated on Mar 3, 2020.