| 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. 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 |