Delta Physician Practices

NPI #1417076431 in Greenville, Mississippi

Provider Information

NPI Number: 1417076431
Entity Type: Organization
Organization Name: Delta Physician Practices
Subpart: Yes (part of a larger organization)
Parent Organization: DELTA PHYSICIAN PRACTICES
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 29, 2007
Last Updated: Nov 14, 2022

Practice Location

Address: 1400 E UNION ST
City: Greenville
State: Mississippi
ZIP Code: 38703-3246
Phone: (662) 378-3783

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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