NPI

1304 Walnut Street Operations, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2022-03-04
Last updated
2026-09-23

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1304 Walnut St
City
Waynesboro MS
Postal code
39367-2232
Phone
(601) 735-9025

Organization contact

Name
ASHLEY WINKLE
Title
LLC Manager
Phone
6784782335

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Waynesboro, MS. 153 records in the public file.

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