Organization
DELTA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT FOLDEN (CEO)
(870) 333-1230
Entity
Organization
Contact information
Practice address
375 E MILLSAP RD STE 1, FAYETTEVILLE, AR 72703-6289
(479) 935-4949
Mailing address
PO BOX 19238, JONESBORO, AR 72403-6603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163732716
—
AR
Enumeration date
03/18/2020
Last updated
03/10/2023
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