| NPI | 1639189244 |
|---|---|
| Doing Business As | WINTERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | RHONDA ETHERIDGE Office Manager 318-649-5094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 113RHC1) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-03-06 |