Organization
RMC DIABETES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BRADLEY (AUTHORIZED OFFICIAL / OWNER)
(601) 575-3392
Entity
Organization
Contact information
Practice address
794 HIGHWAY 51 STE A, MADISON, MS 39110-9662
(601) 790-7711
Mailing address
794 HIGHWAY 51 STE A, MADISON, MS 39110-9662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
12/20/2022
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