Provider Demographics
NPI:1871523688
Name:CARHEE, WINSTON KYLE JR (DC)
Entity type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:KYLE
Last Name:CARHEE
Suffix:JR
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 1:3915 CASCADE RD SW STE 220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8533
Mailing Address - Country:US
Mailing Address - Phone:404-699-0966
Mailing Address - Fax:
Practice Address - Street 1:3915 CASCADE RD SW STE 220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8533
Practice Address - Country:US
Practice Address - Phone:404-699-0966
Practice Address - Fax:404-699-0988
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO07578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCHQTMedicare ID - Type Unspecified