Mississippi Belmont Clinic, LLC

NPI #1134631641 in Belmont, Mississippi

Provider Information

NPI Number: 1134631641
Entity Type: Organization
Organization Name: Mississippi Belmont Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 25, 2017
Last Updated: Oct 25, 2017

Practice Location

Address: 102 3RD ST
Address 2: PO BOX 190
City: Belmont
State: Mississippi
ZIP Code: 38827-0190
Phone: (662) 454-3401

Authorized Official

Name: DR. DONALD R RATLIFF, MD
Title: PROVIDER
Phone: (662) 454-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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