| NPI | 1609464619 |
|---|---|
| Doing Business As | DELTA HEALTH-MEDICAL GROUP |
| Other Name | DELTA HEALTH-CLARKSDALE PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | IRIS STACKER Chief Executive Officer 662-378-3783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 207L00000X Anesthesiology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-11-14 |