Winston Medical Clinic LLC
NPI #1033598503 in Louisville, Mississippi
Provider Information
- NPI Number
- 1033598503
- Entity Type
- Organization
- Organization Name
- Winston Medical Clinic LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WINSTON MEDICAL CLINIC LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 29, 2015
- Last Updated
- Aug 9, 2018
Practice Location
- Address
- 16569 W MAIN ST
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339
- Phone
- (662) 773-5704
Authorized Official
- Name
- DEBRA J FRYERY
- Title
- DIRECTOR OF CLINIC OPERATIONS
- Phone
- (662) 446-1972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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