Provider Demographics
NPI:1194889048
Name:WINDER ADULT PRIMARY CARE & WELLNESS INC
Entity type:Organization
Organization Name:WINDER ADULT PRIMARY CARE & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:SABRINA
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-867-0455
Mailing Address - Street 1:314 N BROAD ST
Mailing Address - Street 2:STE. 350
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2191
Mailing Address - Country:US
Mailing Address - Phone:770-867-0455
Mailing Address - Fax:770-867-3990
Practice Address - Street 1:314 N BROAD ST
Practice Address - Street 2:STE. 350
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2191
Practice Address - Country:US
Practice Address - Phone:770-867-0455
Practice Address - Fax:770-867-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047589305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11BDWVCMedicare ID - Type Unspecified
GAH05167Medicare UPIN