Regional Medical Clinic, Llc.
Regional Medical Clinic, Llc. is a health care provider in Bassfield, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 4297 Highway 42, Bassfield, MS 39421-4424, US |
|Practice Location Phone||601-943-5060|
|Practice Location Fax||601-943-5888|
|Legal Business Name||REGIONAL MEDICAL CLINIC, LLC.|
|Enumeration Date ? ||Nov 12, 2009|
|Last Update Date ? ||Nov 3, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Regional Medical Clinic, Llc.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care ||13317||Mississippi|
Legacy Provider IDs of Regional Medical Clinic, Llc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Regional Medical Clinic, Llc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Regional Medical Clinic, Llc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Roy Dudley Evans (M.D.)|
|Authorized Official Title/Position||OWNER/PHYSICIAN|
|Authorized Official Phone Number||601-943-5060|