W Winston Wilfong, MD | |
4 Live Oak Ct, Moultrie, GA 31768-6783 | |
(229) 785-2400 | |
(229) 207-2532 |
Full Name | W Winston Wilfong |
---|---|
Gender | Male |
Speciality | Urology |
Location | 4 Live Oak Ct, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760518773 | NPI | - | NPPES |
000391036B | Medicaid | GA | |
202G701316 | Other | GA | MEDICARE GROUP PTAN |
102I342359 | Other | GA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 028479 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
W Winston Wilfong, MD Po Box 1539, Moultrie, GA 31776-1539 Ph: (229) 785-2400 | W Winston Wilfong, MD 4 Live Oak Ct, Moultrie, GA 31768-6783 Ph: (229) 785-2400 |
Emerson E Harrison, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-891-9148 | |
Jeremy Zach Goodman, MD Urology Medicare: Medicare Enrolled Practice Location: 16 Live Oak Ct, Moultrie, GA 31768 Phone: 229-891-9148 |