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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.

physician-icon Basic Information

Practice Location 4297 Highway 42, Bassfield, MS 39421-4424, US
Practice Location Phone601-943-5060
Practice Location Fax601-943-5888
Legal Business NameREGIONAL MEDICAL CLINIC, LLC.
NPI ?1932436813
Entity TypeOrganization
Enumeration Date ? Nov 12, 2009
Last Update Date ? Nov 3, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Regional Medical Clinic, Llc.

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care 13317Mississippi

legacy-id-icon Legacy Provider IDs of Regional Medical Clinic, Llc.

Provider IdIssuer StateIssuer TypeIssuer
1952465619OtherPHYSICIAN NPI
00111136MississippiMedicaid

official-icon 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/PositionOWNER/PHYSICIAN
Authorized Official Phone Number601-943-5060