Organization
MID DELTA FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATE BROWN MD (MEDICAL DIRECTOR)
(662) 843-7299
Entity
Organization
Contact information
Practice address
403 S. DAVIS, CLEVELAND, MS 38732
(662) 843-7299
(662) 843-0010
Mailing address
PO BOX 1040, CLEVELAND, MS 38732-1040
(662) 843-7299
(662) 843-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014000
—
MS
Enumeration date
11/01/2006
Last updated
05/19/2022
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