| 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
| 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, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 16 Live Oak Ct, Moultrie, GA 31768 Phone: 229-891-9148 Fax: 229-217-4910 | |
Jeremy Zach Goodman, MD Urology Medicare: Medicare Enrolled Practice Location: 16 Live Oak Ct, Moultrie, GA 31768 Phone: 229-891-9148 | |
Dr. Cheau Eugene Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-502-9788 |