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1457501470
SOUTH DELTA MEDICAL, PLLC
ROLLING FORK, MS
NPI
1457501470
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Entity Type
Organization
Authorized Contact
ANDREW GEORGE
Member
662-873-0477
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-09-26
Last Update Date
2008-09-26
Business Address
SOUTH DELTA MEDICAL, PLLC
25 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-0477
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Mailing Address
SOUTH DELTA MEDICAL, PLLC
25 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-0477
Copy
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