Walthall Rural Health Clinic
NPI #1407166762 in Tylertown, Mississippi
Provider Information
- NPI Number
- 1407166762
- Entity Type
- Organization
- Organization Name
- Walthall Rural Health Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 20, 2010
- Last Updated
- Apr 11, 2013
Practice Location
- Address
- 200 HOSPITAL DR
- City
- Tylertown
- State
- Mississippi
- ZIP Code
- 39667-2020
- Phone
- (601) 876-5835
Authorized Official
- Name
- EVAN DILLARD
- Title
- PRESIDENT/CEO
- Phone
- (601) 288-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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