Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rolling Fork Medical Clinic, LLC

Organization Family Medicine Physician · NPI 1275174971

Rolling Fork Medical Clinic, LLC provides Family Medicine Physician services in Rolling Fork, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

44 S Fourth St
Rolling Fork, MS 39159-5147
Phone: (662) 335-4105
Fax: (662) 378-2879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275174971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hearn — Manager · (662) 335-4105
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019
Mailing address1997 Medical Park Dr, Greenville, MS 38703-7268

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