Organization
GORTON RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY CARLTON GORTON MD (MEDICAL DIRECTOR)
(662) 247-2105
Entity
Organization
Contact information
Practice address
107 CHURCH ST, BELZONI, MS 39038-3929
(662) 247-2105
Mailing address
107 CHURCH ST, BELZONI, MS 39038-3929
(662) 247-2105
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Enumeration date
02/26/2007
Last updated
05/19/2016
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