| NPI | 1225157506 |
|---|---|
| Other Name | DELTA HEALTH-MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | IRIS STACKER CEO 662-725-2264 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-11-04 |