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1598086639
DELTA PHYSICIAN PRACTICES
GREENVILLE, MS
NPI
1598086639
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Entity Type
Organization
Authorized Contact
IRIS STACKER
CEO
662-378-3783
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2010-06-11
Last Update Date
2022-11-14
Business Address
DELTA PHYSICIAN PRACTICES
930 MAIN ST
GREENVILLE, MS 38701-4111
Phone number: 662-332-1398
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Mailing Address
DELTA PHYSICIAN PRACTICES
PO BOX 1734
GREENVILLE, MS 38702-1734
Phone number: 662-725-2749
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