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Organization
SOUTH DELTA MEDICAL, PLLC
Active
Organization
SOUTH DELTA MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GEORGE MD (MEMBER)
(662) 873-0477
Entity
Organization
Contact information
Practice address
25 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-0477
(662) 873-0742
Mailing address
25 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-0477
(662) 873-0742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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