South Rankin Family Clinic, LLC

NPI #1629143334 in Richland, Mississippi

Provider Information

NPI Number: 1629143334
Entity Type: Organization
Organization Name: South Rankin Family Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 368 SCARBROUGH ST
Address 2: SUITE B
City: Richland
State: Mississippi
ZIP Code: 39218-9038
Phone: (601) 664-2273

Authorized Official

Name: RODERICK ANTHONY SHIELDS, M.D.
Title: OWNER
Phone: (601) 664-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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