Organization
D. W. RATLIFF
Active
Other names
Belmont Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD W RATLIFF M.D. (OWNER)
(662) 454-3401
Entity
Organization
Contact information
Practice address
102 THIRD STREET, BELMONT, MS 38827-0190
(662) 454-3401
Mailing address
PO BOX 190, 102 THIRD STREET, BELMONT, MS 38827-0190
(662) 454-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7354
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016909
—
MS
01
—
082945519
MEDICARE PROVIDER NUMBER
MS
05
—
09010951
—
MS
01
—
C00480
MEDICARE C#
MS
Enumeration date
06/25/2007
Last updated
06/30/2008
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