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PIERRE EDOUARD DE DELVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
971 LAKELAND DR STE 657, JACKSON, MS 39216-4608
(601) 200-2780
(601) 200-2788
Mailing address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 984-5170

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD441215
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
21552
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01195517
RAILROAD MEDICARE PTAN
MS
Enumeration date
11/30/2005
Last updated
11/11/2025
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