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Mid Delta Kidney Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greenville, Mississippi
NPI 1336259548

Mid Delta Kidney Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Greenville, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Mid Delta Kidney Center practices in Greenville, MS. The NPI Number for Mid Delta Kidney Center is 1336259548 and holds a License No. (Mississippi).

The current practice location address for Mid Delta Kidney Center is 1997 Medical Park Dr, Greenville, MS and can be reached out via phone at 662-332-7100 and via fax at 662-378-2879.

Location: 1997 Medical Park Dr, Greenville, MS, 38703-7268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336259548
Provider Name
Mid Delta Kidney Center
Credential
Provider Entity Type
Organization
Address
1997 Medical Park Dr, Greenville, MS, 38703-7268
Phone Number
662-332-7100
Fax Number
662-378-2879
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0220419 05 MS
institution
Provider Business Practice Location Address Details
Address
1997 Medical Park Dr
City
Greenville
State
Mississippi
Zip
38703-7268
Phone Number
662-332-7100
Fax Number
662-378-2879
person
Provider Business Mailing Address Details
Address
1997 Medical Park Dr
City
Greenville
State
Mississippi
Zip
38703-7268
Phone Number
662-332-7100
Fax Number
662-378-2879
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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