Winston Medical Clinic Fair Elementary School
NPI #1023474780 in Louisville, Mississippi
Provider Information
- NPI Number
- 1023474780
- Entity Type
- Organization
- Organization Name
- Winston Medical Clinic Fair Elementary School
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WINSTON MEDICAL CLINIC LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Jan 12, 2016
Practice Location
- Address
- 301 N COLUMBUS AVE
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-2315
- Phone
- (662) 446-1972
Authorized Official
- Name
- DEBRA J FRYERY
- Title
- DIRECTOR OF CLINIC OPERATIONS
- Phone
- (662) 446-1972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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