Winston Medical Clinic Main Street

NPI 1033598503 - Family Medicine - 207Q00000X

NPI Details
NPI 1033598503
Enumeration Date 05/29/2015
Last Updated 08/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PAUL S PAUL
Position CEO
Phone (662) 773-5704
Fax (662) 773-9463
Practice Location
106 W MAIN ST
LOUISVILLE MS, 39339-2620, US
Phone (662) 773-5704
Fax (662) 773-9463
Business Location
106 W MAIN ST
PO BOX 470
LOUISVILLE MS, 39339-2620, US
Phone (662) 773-5704
Fax (662) 773-6457
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Winston Medical Clinic Main Street NPI is 1033598503, taxonomy code is 207Q00000X Winston Medical Clinic Main Street physically located at 106 W Main St, Louisville MS, 39339-2620. NPI Number 1033115704 has the healthcare provider type.

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1033598503 NPI number is provided on an as is basis without warranty of any kind. 1033598503 is maintained by the National Plan & Provider Enumeration System. The contents of Winston Medical Clinic Main Street are for informational purposes only.