Winston Medical Clinic LLC
NPI #1629417324 in Louisville, Mississippi
Provider Information
- NPI Number
- 1629417324
- Entity Type
- Organization
- Organization Name
- Winston Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 17, 2013
- Last Updated
- Jan 19, 2017
Practice Location
- Address
- 923 S CHURCH AVE
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339
- Phone
- (662) 773-3503
Authorized Official
- Name
- DEBBIE 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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