CHARLES BENNETT WINTER

MACON, GA
NPI1568913903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  8173)
Enumeration Date2016-10-20
Last Update Date2016-12-29
Business Address
CHARLES BENNETT WINTER CAA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-2147
Mailing Address
CHARLES BENNETT WINTER CAA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839