Organization
HEALTHY ROOTS FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BRUCE (CEO)
(601) 807-3833
Entity
Organization
Contact information
Practice address
114 JEFFERSON DAVIS BLVD, STE B, NATCHEZ, MS 39120
(601) 653-4581
(601) 653-4582
Mailing address
114 JEFFERSON DAVIS BLVD STE B, NATCHEZ, MS 39120-5104
(601) 653-4581
(601) 653-4582
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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