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Delta Neurology Clinic, Pllc
Medical Specialty Clinic/Center in Clarksdale, Mississippi
NPI 1255580049

Delta Neurology Clinic, Pllc is a Medical Specialty Clinic/Center based in Clarksdale, MS and is specialized in Medical Specialty. Delta Neurology Clinic, Pllc practices in Clarksdale, MS. The NPI Number for Delta Neurology Clinic, Pllc is 1255580049 and holds a License No. 17427 (Mississippi).

The current practice location address for Delta Neurology Clinic, Pllc is 785 Ohio Ave, Clarksdale, MS and can be reached out via phone at 662-627-2544 and via fax at 662-627-2052.

Location: 785 Ohio Ave, Clarksdale, MS, 38614-6217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255580049
Provider Name
Delta Neurology Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
785 Ohio Ave, Clarksdale, MS, 38614-6217
Phone Number
662-627-2544
Fax Number
662-627-2052
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00124811 05 MS
154530001 05 AR
institution
Provider Business Practice Location Address Details
Address
785 Ohio Ave
City
Clarksdale
State
Mississippi
Zip
38614-6217
Phone Number
662-627-2544
Fax Number
662-627-2052
person
Provider Business Mailing Address Details
Address
785 Ohio Ave
City
Clarksdale
State
Mississippi
Zip
38614-6217
Phone Number
662-627-2544
Fax Number
662-627-2052
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
17427 (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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