# DELTA REGIONAL ANESTHESIOLOGY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DELTA REGIONAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720059249
- **Legal business name:** DELTA REGIONAL HOSPITAL
- **Authorized official:** LEE ANN BOWLIN (PHYSICIAN RECRUITMENT COORDINATOR)
- **Authorized official phone:** (662) 334-2005

## Contact information

- **Practice address:** 1400 E UNION ST, GREENVILLE, MS 38703-3246
- **Practice address phone:** (662) 334-2005
- **Practice address fax:** (662) 334-2189
- **Mailing address:** PO BOX 235019, MONTGOMERY, AL 36123-5019
- **Mailing address phone:** (800) 232-5703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 04/22/2008