Dr ALFRED G WINDHAM is a male medical professional, specializing in Otolaryngology. He graduated in 1979 from University Of Mississippi School Of Medicine.
VICKSBURG CLINIC LLC
2200 HWY 61 N 2100
VICKSBURG STREET CLINIC PEDIATRICS
VICKSBURG
MS
391838246
Tel: 6018833144
| Npi | 1326079518 |
| Pac Id | 0345373296 |
| Professional Enrollment Id | I20100729000708 |
| Last Name | WINDHAM |
| First Name | ALFRED |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | VICKSBURG CLINIC LLC |
| Group Practice Pac Id | 5890696330 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 2200 HWY 61 N 2100 |
| Line 2 Street Address | VICKSBURG STREET CLINIC PEDIATRICS |
| Marker Of Address Line 2 Suppression | |
| City | VICKSBURG |
| State | MS |
| Zip Code | 391838246 |
| Phone Number | 6018833144 |
| Hospital Affiliation Ccn 1 | 250031 |
| Hospital Affiliation Lbn 1 | MERIT HEALTH RIVER REGION |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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