NPI | 1033598503 |
---|---|
Doing Business As | WINSTON MEDICAL CLINIC MAIN STREET |
Entity Type | Organization |
Authorized Contact | DEBRA J FRYERY Director Of Clinic Operations 662-446-1972 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2015-05-29 |
Last Update Date | 2018-08-09 |