Delta Physician Practices
Pediatrics
Delta Physician Practices is a Greenville, Mississippi based Pediatric center with medical specialization in
General Pediatrics.
It is located at
526 Fairview Ave, Greenville, Mississippi - 38701-5401. They can be contacted on phone at
662-332-0501 and fax number 662-332-0176.
NPI number (Unique professional ID) for Delta Physician Practices is
1235258252 which was assigned by NPPES on 29 Mar, 2007 and it was last updated on 14 Nov, 2022.
Delta Physician Practices is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Delta Physician Practices basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Delta Physician Practices |
|---|
Business Address:
Delta Physician Practices address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 526 Fairview Ave
Greenville, MS, 38701-5401
United States |
|---|
| Phone Number : | 662-332-0501 |
|---|
| Fax Number : | 662-332-0176 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235258252 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Mar, 2007 |
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| Last Updated On : | 14 Nov, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Iris Stacker |
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| Official Title or Position : | CEO |
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| Phone Number : | 6623783783 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Delta Physician Practices are as mentioned. Primary taxonomy code for Delta Physician Practices is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | - |
Legacy Identifiers:
Other legacy medical identifiers of Delta Physician Practices such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09015100 | MEDICAID | MS | |
| 156272002 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 23998
Jackson, MS, 39225-3998
United States |
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| Phone Number : | 662-725-2749 |
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| Fax Number : | 662-725-2741 |
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Business Location:
Patients can refer following map for directions to
Delta Physician Practices practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.