Winston Medical Clinic Llc

NPI 1588091714 - Clinic/Center - 261QR1300X

NPI Details
NPI 1588091714
Enumeration Date 10/02/2013
Last Updated 10/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GARY L GARY
Position CEO
Phone (662) 773-3503
Fax (662) 773-6457
Practice Location
90 EAST MAIN STREET
NOXAPATER MS, 39346, US
Phone (662) 773-3503
Fax (662) 773-6457
Business Location
PO BOX 470
LOUISVILLE MS, 39339-0470, US
Phone (662) 779-5102
Fax (662) 773-6223
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, Winston Medical Clinic Llc NPI is 1588091714, taxonomy code is 261QR1300X Winston Medical Clinic Llc physically located at 90 East Main Street, Noxapater MS, 39346. NPI Number 1033115704 has the healthcare provider type.

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1588091714 NPI number is provided on an as is basis without warranty of any kind. 1588091714 is maintained by the National Plan & Provider Enumeration System. The contents of Winston Medical Clinic Llc are for informational purposes only.