| D. W. Ratliff | |
|
102 Third Street Belmont MS 38827-0190 | |
| (662) 454-3401 | |
| Not Available |
| Full Name | D. W. Ratliff |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Third Street, Belmont, Mississippi |
| Authorized Official Name and Position | Donald W Ratliff (OWNER) |
| Authorized Official Contact | 6624543401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. W. Ratliff Po Box 190 102 Third Street Belmont MS 38827-0190 Ph: (662) 454-3401 | D. W. Ratliff 102 Third Street Belmont MS 38827-0190 Ph: (662) 454-3401 |
| NPI Number | 1568668804 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568668804 | NPI | - | NPPES |
| 082945519 | Other | MS | MEDICARE PROVIDER NUMBER |
| 09010951 | Medicaid | MS | |
| 00016909 | Medicaid | MS | |
| C00480 | Other | MS | MEDICARE C# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7354 (Mississippi) | Primary |
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