Provider Demographics
NPI:1346083714
Name:WINSTON, STEPHEN (BLS AED)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:WINSTON
Suffix:
Gender:
Credentials:BLS AED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 FITZGERALD PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1055
Mailing Address - Country:US
Mailing Address - Phone:404-617-4623
Mailing Address - Fax:
Practice Address - Street 1:600 FITZGERALD PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-1055
Practice Address - Country:US
Practice Address - Phone:404-617-4623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)