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Delta Gastroenterology P.c.
Specialist in Southaven, Mississippi
NPI 1285789677

Delta Gastroenterology P.c. is a Specialist based in Southaven, MS. Delta Gastroenterology P.c. practices in Southaven, MS. The NPI Number for Delta Gastroenterology P.c. is 1285789677 and holds a License No. (Mississippi).

The current practice location address for Delta Gastroenterology P.c. is 9140 Highway 51 N, Southaven, MS and can be reached out via phone at 662-280-8222 and via fax at 662-280-5541.

Location: 9140 Highway 51 N, Southaven, MS, 38671-1233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285789677
Provider Name
Delta Gastroenterology P.c.
Credential
Provider Entity Type
Organization
Address
9140 Highway 51 N, Southaven, MS, 38671-1233
Phone Number
662-280-8222
Fax Number
662-280-5541
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3050626 01 TN BLUECROSS BLUESHIELD
3729898 05 TN
3050626 01 TN TENNCARE SELECT
3000117 01 TN TLC
institution
Provider Business Practice Location Address Details
Address
9140 Highway 51 N
City
Southaven
State
Mississippi
Zip
38671-1233
Phone Number
662-280-8222
Fax Number
662-280-5541
person
Provider Business Mailing Address Details
Address
9140 Highway 51 N
City
Southaven
State
Mississippi
Zip
38671-1233
Phone Number
662-280-8222
Fax Number
662-280-5541
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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