| Organization Name: | NATCHEZ REGIONAL MEDICAL CLINIC |
| NPI Number: | 1700086212 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MISTY MELTON (BILLING CLERK) |
| Mailing Address: | 46 Seargent Prentiss Drive Suite 202 Natchez |
| State: | MS US |
| Postal Code: | 39120 |
| Phone Number: | 6014426500 |
| Fax Number: | 6014421509 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |