SearchMississippi235Z00000X

Leslie Black

NPI 1013288828 · on the registry since 2012

Practice

Address
627 Middleton Rd
Winona, MS 38967
Phone
(662) 417-1773
Organisation at this address
Winona Manor Healthcare Llc
627 Middleton Road Opco Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi