NPI 1043628720

Mary Winningham

Practitioner Athletic Trainer Statesboro, GA

Practice location

Address: 352 Langston Chapel Rd, Statesboro, GA 30458-2478
Phone: (931) 261-6645
Mailing address: 1710 Upper Hilham Rd, Livingston, TN 38570-8152

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002509 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1043628720
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2014
Record last updated: 26 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.