Delta Medical Foundation
NPI #1508363060 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1508363060
- Entity Type
- Organization
- Organization Name
- Delta Medical Foundation
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Mar 1, 2023
Practice Location
- Address
- 551 MEDICAL DR
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-6733
- Phone
- (662) 624-2531
Authorized Official
- Name
- LONNIE MOORE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 326-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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