Winnsboro-columbia Mental Health Clinic

NPI 1598805624 - Registered Nurse - 163W00000X

NPI Details
NPI 1598805624
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY L. GREGORY
Position REGISTERED NURSE III
Phone (318) 435-2146
Fax (318) 435-2134
Practice Location
1301 LANDIS ST
SUITE-B
WINNSBORO LA, 71295-2642, US
Phone (318) 435-2146
Fax (318) 435-2134
Business Location
1301 LANDIS ST
SUITE - B
WINNSBORO LA, 71295-2642, US
Phone (318) 435-2146
Fax (318) 435-2134
Toxanomy
Taxonomy Code 163W00000X
License State Louisiana
License Number RN086019
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According to our database, Winnsboro-columbia Mental Health Clinic NPI is 1598805624, taxonomy code is 163W00000X and license number is RN086019, license state is located at Louisiana. Winnsboro-columbia Mental Health Clinic physically located at 1301 Landis St, Winnsboro LA, 71295-2642. NPI Number 1033115704 has the healthcare provider type.

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1598805624 NPI number is provided on an as is basis without warranty of any kind. 1598805624 is maintained by the National Plan & Provider Enumeration System. The contents of Winnsboro-columbia Mental Health Clinic are for informational purposes only.