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Delta Specialty Clinic Pc
Medical Specialty Clinic/Center in Greenville, Mississippi
NPI 1043564735

Delta Specialty Clinic Pc is a Medical Specialty Clinic/Center based in Greenville, MS and is specialized in Medical Specialty. Delta Specialty Clinic Pc practices in Greenville, MS. The NPI Number for Delta Specialty Clinic Pc is 1043564735 and holds a License No. 18512 (Mississippi).

The current practice location address for Delta Specialty Clinic Pc is 930 Main St, Greenville, MS and can be reached out via phone at 662-332-8848 and via fax at 662-332-8854.

Location: 930 Main St, Greenville, MS, 38704-4577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043564735
Provider Name
Delta Specialty Clinic Pc
Credential
Provider Entity Type
Organization
Address
930 Main St, Greenville, MS, 38704-4577
Phone Number
662-332-8848
Fax Number
662-332-8854
Provider Enumeration Date
11/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05828295 05 MS
institution
Provider Business Practice Location Address Details
Address
930 Main St
City
Greenville
State
Mississippi
Zip
38701-4111
Phone Number
662-332-8848
Fax Number
662-332-8854
person
Provider Business Mailing Address Details
Address
930 Main St
City
Greenville
State
Mississippi
Zip
38701-4111
Phone Number
662-332-8848
Fax Number
662-332-8854
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
18512 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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