| NPI | 1023474780 |
|---|---|
| Doing Business As | WINSTON MEDICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | DEBRA J FRYERY Director Of Clinic Operations 662-446-1972 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R860217) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |