Delta Physician Practices

NPI #1144349168 in Greenville, Mississippi

Provider Information

NPI Number: 1144349168
Entity Type: Organization
Organization Name: Delta Physician Practices
Subpart: Yes (part of a larger organization)
Parent Organization: DELTA PHYSICIAN PRACTICES
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 29, 2007
Last Updated: Nov 14, 2022

Practice Location

Address: 1703 HOSPITAL ST
City: Greenville
State: Mississippi
ZIP Code: 38703-3225
Phone: (662) 332-7720

Authorized Official

Name: IRIS STACKER
Title: CEO
Phone: (662) 378-3783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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