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Organization

DELTA PHYSICIAN PRACTICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRIS STACKER (CEO)
(662) 378-3783
Entity
Organization

Contact information

Practice address
129 E STARLING ST, GREENVILLE, MS 38701-4725
(662) 725-1500
(662) 725-1515
Mailing address
PO BOX 4739, GREENVILLE, MS 38704-4739
(662) 725-2749
(662) 725-2741

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
02/14/2012
Last updated
11/14/2022
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