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 |