# MID DELTA FAMILY PRACTICE CLINIC II INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144483322
- **Authorized official:** DR. NATE BROWN (MEDICAL DIRECTOR)
- **Authorized official phone:** (662) 843-7299

## Contact information

- **Practice address:** 403 S DAVIS AVE, CLEVELAND, MS 38732-3411
- **Practice address phone:** (662) 843-7299
- **Mailing address:** PO DRAWER 1040, CLEVELAND, MS 38732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008