Delta Physician Practices
NPI #1174642144 in Greenville, Mississippi
Provider Information
- NPI Number
- 1174642144
- Entity Type
- Organization
- Organization Name
- Delta Physician Practices
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DELTA PHYSICIAN PRACTICES
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Nov 4, 2022
Practice Location
- Address
- 1502 S COLORADO ST
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38703-7219
- Phone
- (662) 332-9872
Authorized Official
- Name
- MS. IRIS STACKER
- Title
- CEO
- Phone
- (662) 725-2264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Internal Medicine - Gastroenterology — Gastroenterology |
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