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Individual

CLINTON WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
Mailing address
404 GILMORE DR, AMORY, MS 38821-5414
(662) 256-3564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14904
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117005
MS
01
857748590C
BCBS
MS
Enumeration date
07/29/2006
Last updated
05/07/2025
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