Individual
BOBBY WINBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1167 PARKLAND RD, MEMPHIS, TN 38111
(919) 633-7771
Mailing address
1167 PARKLAND RD, MEMPHIS, TN 38111-4009
(919) 633-7771
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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