| NPI | 1497173942 |
|---|---|
| Doing Business As | DELOACH FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DELOACH Chief Financial Officer 601-433-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 14545) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2025-08-07 |