Winston Craig Clark, MD | |
704 S Broad St, Thomasville, GA 31792-6107 | |
(229) 584-5760 | |
(229) 584-5945 |
Full Name | Winston Craig Clark |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 704 S Broad St, Thomasville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265409064 | NPI | - | NPPES |
162898 | Other | TN | BCBST |
00115774 | Medicaid | MS | |
3029594 | Medicaid | TN | |
35395 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD14839 (Tennessee) | Secondary |
207T00000X | Neurological Surgery | 35395 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Winston Craig Clark, MD 704 S Broad St, Thomasville, GA 31792-6107 Ph: (229) 584-5760 | Winston Craig Clark, MD 704 S Broad St, Thomasville, GA 31792-6107 Ph: (229) 584-5760 |
Dr. Samantha Dayawansa, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 | |
Dr. Brian K. Russell, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 110, Thomasville, GA 31792 Phone: 850-999-4894 Fax: 850-668-0572 | |
Dr. Gerald N Kadis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-226-8880 Fax: 229-226-6342 |