Individual
DR. DONALD W RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 THIRD ST, BELMONT, MS 38827-0190
(662) 454-3401
(662) 454-3401
Mailing address
PO BOX 190, BELMONT, MS 38827-0190
(662) 454-3401
(662) 454-7278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7354
MS
207Q00000X
Family Medicine Physician
8253
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016909
—
MS
01
—
082945519
MEDICARE PROVIDER NUMBER
MS
Enumeration date
06/13/2005
Last updated
06/30/2014
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