| Delta Wellness Clinic For Families Llc | |
|
1585 S Main St Greenville MS 38701-7008 | |
| (662) 332-8848 | |
| (662) 332-8854 |
| Full Name | Delta Wellness Clinic For Families Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1585 S Main St, Greenville, Mississippi |
| Authorized Official Name and Position | Katherine Colbert (BUSINESS MANAGER) |
| Authorized Official Contact | 6623328848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Wellness Clinic For Families Llc Po Box 4577 Greenville MS 38704-4577 Ph: (662) 332-8848 | Delta Wellness Clinic For Families Llc 1585 S Main St Greenville MS 38701-7008 Ph: (662) 332-8848 |
| NPI Number | 1144669375 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144669375 | NPI | - | NPPES |
| 00114839 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14161 (Mississippi) | Primary |
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