SOUTH RIDGE FAMILY CLINIC, LLC

ELLISVILLE, MS
NPI1881930469
Entity TypeOrganization
Authorized ContactMARLANA HEDGEPETH
Owner
601-477-2221
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-12-31
Last Update Date2012-12-31
Business Address
SOUTH RIDGE FAMILY CLINIC, LLC
80 HAL CROCKER RD
ELLISVILLE, MS 39437-2089
Phone number: 601-477-2221
Mailing Address
SOUTH RIDGE FAMILY CLINIC, LLC
80 HAL CROCKER RD
ELLISVILLE, MS 39437-2089
Phone number: