Individual
TOMMY WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6434 DALE DR, MARION, MS 39342-8704
(601) 483-4285
Mailing address
6980 WOODLAND DR, MERIDIAN, MS 39301-7892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4467
MS
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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