Organization
BELMONT MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L EDMONDSON FNP (PROVIDER/OWNER)
(662) 454-3401
Entity
Organization
Contact information
Practice address
102 3RD ST, BELMONT, MS 38827-7601
(662) 454-3401
Mailing address
PO BOX 813, BELMONT, MS 38827-0813
(662) 454-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/17/2018
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