# MISSISSIPPI BELMONT CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belmont Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134631641
- **Authorized official:** DR. DONALD R RATLIFF MD (PROVIDER)
- **Authorized official phone:** (662) 454-3401

## Contact information

- **Practice address:** 102 3RD ST, PO BOX 190, BELMONT, MS 38827-0190
- **Practice address phone:** (662) 454-3401
- **Mailing address:** PO BOX 628, BELMONT, MS 38827-0628
- **Mailing address phone:** (662) 454-3401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 10/25/2017