Delta State University | |
1003 W Sunflower Rd Cleveland MS 38733-0001 | |
(662) 846-4280 | |
Not Available |
Full Name | Delta State University |
---|---|
Speciality | Internal Medicine |
Location | 1003 W Sunflower Rd, Cleveland, Mississippi |
Authorized Official Name and Position | Abby Havard (ASSISTANT AD/HEALTH & PERFROMANCE) |
Authorized Official Contact | 6628464280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Delta State University 1003 W Sunflower Rd Cleveland MS 38733-0001 Ph: (166) 284-6428 | Delta State University 1003 W Sunflower Rd Cleveland MS 38733-0001 Ph: (662) 846-4280 |
NPI Number | 1730467648 |
---|---|
Provider Enumeration Date | 07/26/2011 |
Last Update Date | 10/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730467648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
News Archive
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