Organization
BELLE MEADE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM SHATLEY M.D. (MANAGER)
(601) 992-7002
Entity
Organization
Contact information
Practice address
108 BELLE MEADE POINTE, FLOWOOD, MS 39232
(601) 992-7002
Mailing address
108 BELLE MEADE POINTE, FLOWOOD, MS 39232
(601) 992-7002
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
14462
MS
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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