ROLLING FORK MEDICAL CLINIC, LLC

ROLLING FORK, MS
NPI1275174971
Entity TypeOrganization
Authorized ContactLISA THOMAS HEARN
Manager
662-335-4105
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-10-03
Last Update Date2019-10-03
Business Address
ROLLING FORK MEDICAL CLINIC, LLC
44 S FOURTH ST
ROLLING FORK, MS 39159-5147
Phone number: 662-335-4105
Mailing Address
ROLLING FORK MEDICAL CLINIC, LLC
1997 MEDICAL PARK DR
GREENVILLE, MS 38703-7268
Phone number: 662-335-4105
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