Provider Demographics
NPI:1801779558
Name:WINTER SOUTH
Entity type:Organization
Organization Name:WINTER SOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:AGEE
Authorized Official - Suffix:II
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-568-3224
Mailing Address - Street 1:1529 BESSEMER RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35208-4016
Mailing Address - Country:US
Mailing Address - Phone:205-568-3224
Mailing Address - Fax:
Practice Address - Street 1:1529 BESSEMER RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-4016
Practice Address - Country:US
Practice Address - Phone:205-568-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty