# RMC DIABETES CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548996069
- **Authorized official:** BARBARA BRADLEY (AUTHORIZED OFFICIAL / OWNER)
- **Authorized official phone:** (601) 575-3392

## Contact information

- **Practice address:** 794 HIGHWAY 51 STE A, MADISON, MS 39110-9662
- **Practice address phone:** (601) 790-7711
- **Mailing address:** 794 HIGHWAY 51 STE A, MADISON, MS 39110-9662

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 12/20/2022