| Winona Family Medicine Clinic | |
|
1300 Sunset Dr Suite F Grenada MS 38901-4086 | |
| (662) 226-5747 | |
| (662) 226-5622 |
| Full Name | Winona Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Sunset Dr, Grenada, Mississippi |
| Authorized Official Name and Position | Ralph C Armstrong (PRESIDENT) |
| Authorized Official Contact | 6622265747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winona Family Medicine Clinic 1300 Sunset Dr Suite F Grenada MS 38901-4086 Ph: (662) 226-5747 | Winona Family Medicine Clinic 1300 Sunset Dr Suite F Grenada MS 38901-4086 Ph: (662) 226-5747 |
| NPI Number | 1700994738 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700994738 | NPI | - | NPPES |
| 09013778 | Medicaid | MS | |
| 1417975731 | Other | MS | RALPH C ARMSTRONG, MD NPI |
| 09014826 | Medicaid | MS | |
| 1528086857 | Other | MS | RICHARD C. REID, MD NPI |
| CH9466 | Other | MS | RAILROAD MEDICARE GROUP |
| A12112009661880 | Other | MS | PECOS |
| 1467470799 | Other | MS | KERRY TODD LEE, MD NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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