Organization
DELTA HILLS NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RANDALL WHITE M.D. (DIRECTOR)
(662) 453-5208
Entity
Organization
Contact information
Practice address
DELTA HILLS NEPHROLOGY ASSOCIATES, 609 TALLAHATCHIE STREET, GREENWOOD, MS 38930
(662) 453-5208
(662) 453-7367
Mailing address
609 TALLAHATCHIE ST, GREENWOOD, MS 38930-2005
(662) 453-5208
(662) 453-4546
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014642
—
MS
Enumeration date
07/06/2006
Last updated
04/23/2008
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