CLINTON WASHINGTON

AMORY, MS
NPI1437163763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  14904)
Enumeration Date2006-07-29
Last Update Date2009-05-29
Business Address
-- CLINTON WASHINGTON MD
404 GILMORE DR
AMORY, MS 38821-3416
Phone number: 662-256-3564
Mailing Address
-- CLINTON WASHINGTON MD
404 GILMORE DR
AMORY, MS 38821-5414
Phone number: 662-256-3564