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Organization
DELTA HEALTH SYSTEM
Active
Organization
DELTA HEALTH SYSTEM
Active
Parent organization
DELTA HEALTH SYSTEM
Other names
Delta Health-Medical Group (Anesthesia)
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA HEALTH SYSTEM
Authorized official
IRIS STACKER (CEO)
(662) 725-2020
Entity
Organization
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2189
Mailing address
PO BOX 5247, GREENVILLE, MS 38704-5247
(662) 725-2740
(662) 725-2189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/30/2019
Last updated
11/14/2022
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