Provider Demographics
NPI:1366715039
Name:WINFREY, DAVID LEE (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:WINFREY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142705
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-6519
Mailing Address - Country:US
Mailing Address - Phone:770-599-1010
Mailing Address - Fax:770-947-8973
Practice Address - Street 1:745 GLYNN ST S
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-2049
Practice Address - Country:US
Practice Address - Phone:770-599-1010
Practice Address - Fax:770-947-8973
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO008920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor