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1992276851
DELTA KIDNEY ALLIANCE LLC
GREENVILLE, MS
NPI
1992276851
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Entity Type
Organization
Authorized Contact
LISA HEARN
Practice Manager
662-335-4105
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2018-12-17
Last Update Date
2020-09-14
Business Address
DELTA KIDNEY ALLIANCE LLC
1997 N MEDICAL PARK DR
GREENVILLE, MS 38703-7268
Phone number: 662-335-4105
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Mailing Address
DELTA KIDNEY ALLIANCE LLC
1997 MEDICAL PARK DR
GREENVILLE, MS 38703-7268
Phone number: 662-335-4105
Copy
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