NPI 1619459922 · live from the CMS NPI Registry
Belmont Medical Clinic LLC
Family Medicine in Belmont, MS. National Provider Identifier 1619459922, active.
NPI record
| NPI | 1619459922 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 102 3rd St, Belmont, MS 38827 |
| Practice phone | 662-454-3401 |
| Mailing address | Po Box 813, Belmont, MS 38827 |
| Enumerated | September 4, 2018 |
| Last updated | September 17, 2018 |
| Authorized official | Heather Edmondson, Provider/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.