Organization
WINSTON MEDICAL CLINIC LLC
Active
Parent organization
WINSTON MEDICAL CLINIC LLC
Other names
Winston Medical Clinic Noxapater
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINSTON MEDICAL CLINIC LLC
Authorized official
DEBRA J FRYERY (DIRECTOR OF CLINIC OPERATIONS)
(662) 446-1972
Entity
Organization
Contact information
Practice address
90 EAST MAIN STREET, NOXAPATER, MS 39346
(662) 724-4051
(662) 724-4054
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 446-1972
(662) 446-1039
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
02/09/2017
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