NPI | 1134631641 |
---|---|
Doing Business As | BELMONT MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD R RATLIFF Provider 662-454-3401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-10-25 |
Last Update Date | 2017-10-25 |