Organization
NATCHEZ REGIONAL CLINIC
Active
Parent organization
NATCHEZ REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATCHEZ REGIONAL MEDICAL CENTER
Authorized official
GARY MULLINS (ADMINISTRATOR)
(601) 431-5554
Entity
Organization
Contact information
Practice address
1806 CARTER ST, VIDALIA, LA 71373-3115
(318) 336-8166
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(225) 924-9827
(225) 924-9829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD200671
LA
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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