NPI | 1053086819 |
---|---|
Doing Business As | DELTA HEALTH-SENATOBIA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOSHUA HAMMONS CAO 601-278-4104 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
Enumeration Date | 2021-08-13 |
Last Update Date | 2022-11-14 |