Rolling Fork Medical Clinic, LLC
NPI #1275174971 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1275174971
- Entity Type
- Organization
- Organization Name
- Rolling Fork Medical Clinic, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 3, 2019
- Last Updated
- Oct 3, 2019
Practice Location
- Address
- 44 S FOURTH ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5147
- Phone
- (662) 335-4105
Authorized Official
- Name
- LISA THOMAS HEARN
- Title
- MANAGER
- Phone
- (662) 335-4105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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