# NATCHEZ REGIONAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATCHEZ REGIONAL MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780868760
- **Legal business name:** NATCHEZ REGIONAL MEDICAL CENTER
- **Authorized official:** GARY MULLINS (ADMINISTRATOR)
- **Authorized official phone:** (601) 431-5554

## Contact information

- **Practice address:** 1806 CARTER ST, VIDALIA, LA 71373-3115
- **Practice address phone:** (318) 336-8166
- **Mailing address:** PO BOX 14149, BATON ROUGE, LA 70898-4149
- **Mailing address phone:** (225) 924-9827
- **Mailing address fax:** (225) 924-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD200671 | LA | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 12/26/2007