Organization
ABOVE AVERAGE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA WINSTON GAYLOR LPN (LPN/ OWNER)
(601) 594-7086
Entity
Organization
Contact information
Practice address
1280 OLD JACKSON RD, TERRY, MS 39170-7287
(601) 594-7086
(601) 878-5711
Mailing address
1280 OLD JACKSON RD, TERRY, MS 39170-7287
(601) 594-7086
(601) 878-5711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P316588
MS
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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