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Organization
MID DELTA FAMILY PRACTICE CLINIC
Active
Organization
MID DELTA FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATE BROWN M.D. (MEDICAL DIRECTOR)
(662) 843-7299
Entity
Organization
Contact information
Practice address
403 S DAVIS AVE, CLEVELAND, MS 38732-3411
(662) 843-7299
Mailing address
PO BOX 1040, CLEVELAND, MS 38732-1040
(662) 843-7299
(662) 843-0010
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
10093
MS
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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