| Mid Delta Family Practice Clinic | |
|
403 S. Davis Cleveland MS 38732 | |
| (662) 843-7299 | |
| (662) 843-0010 |
| Full Name | Mid Delta Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 403 S. Davis, Cleveland, Mississippi |
| Authorized Official Name and Position | Nate Brown (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6628437299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Delta Family Practice Clinic Po Box 1040 Cleveland MS 38732-1040 Ph: (662) 843-7299 | Mid Delta Family Practice Clinic 403 S. Davis Cleveland MS 38732 Ph: (662) 843-7299 |
| NPI Number | 1558449348 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558449348 | NPI | - | NPPES |
| 0014000 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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