Organization
DELTA CRITICAL CARE & LUNG CONSULTANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE COLBERT CPC (BUSINESS MANAGER)
(662) 332-8848
Entity
Organization
Contact information
Practice address
537 ANNE STOKES RD, GREENVILLE, MS 38701-6904
(662) 332-8848
(662) 332-8854
Mailing address
PO BOX 4577, GREENVILLE, MS 38704-4577
(662) 332-8848
(662) 332-8854
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905575
—
MS
Enumeration date
08/24/2011
Last updated
08/31/2011
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