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

Walthall Rural Health Clinic

Organization Family Medicine Physician · NPI 1407166762

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

Licensed in
MS
In the registry since
2010

Practice location Address checks out

200 Hospital Dr
Tylertown, MS 39667-2020
Phone: (601) 876-5835
Fax: (601) 876-5295
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 11133 (MS)

Record details

NPI number1407166762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Dillard — President/Ceo · (601) 288-4490
Other names Tylertown Health Clinic
NPI enumeratedOctober 20, 2010
Last updated in NPPESApril 11, 2013
Mailing addressPo Box 677, Tylertown, MS 39667-0677

Other providers in Tylertown