Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Walthall Rural Health Clinic

Organization Family Medicine Physician · NPI 1518275544

Walthall Rural Health Clinic provides Family Medicine Physician services in Tylertown, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
Specialties on file
3

Practice location Address checks out

200 Hospital Dr
Tylertown, MS 39667-2020 Not confirmed with CMS for 14 years — call before visiting
Phone: (601) 876-5303
Fax: (601) 876-0653
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13883 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11133 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 10220 (MS)

Record details

NPI number1518275544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Dillard — President/Ceo · (601) 288-7000
NPI enumeratedSeptember 24, 2010
Last updated in NPPESMay 8, 2012
Mailing addressPost Office Box 677, Tylertown, MS 39667-2025

Other providers in Tylertown