NPI 1003900655

Bethany Medical Clinic

Organisation Family Medicine Physician Cleveland, MS

Practice location

Address: 548 Rosemary Road Suite a, Cleveland, MS 38732-0358
Phone: (662) 846-5032
Fax: (662) 846-5034
Mailing address: PO Box 358 548 Rosemary Road, Cleveland, MS 38732-0358

Authorised official

Name: Charline Brandon
Title: Administrator
Phone: (662) 846-5032

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1003900655
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 30 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.