South Delta Medical, PLLC
Organization Active NPI Family Medicine Physician · Rolling Fork, MS
NPI 1457501470 · NPPES record last updated Sep 26, 2008
Key facts
- NPI
- 1457501470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SOUTH DELTA MEDICAL, PLLC
- Practice address
- 25 S Fourth St
Rolling Fork, MS 39159-5146 - Phone
- (662) 873-0477
- Fax
- (662) 873-0742
- NPI assigned
- Sep 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew George, MD
- Title
- Member
- Phone
- (662) 873-0477
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
25 S Fourth St
Rolling Fork, MS 39159-5146
Mailing address
25 S Fourth St
Rolling Fork, MS 39159-5146
Phone (662) 873-0477
Other providers in Rolling Fork, MS
- Sharkey Issaquena Community Hospital
- Sharkey Issaquena Community Hospital
- Sharkey-Issaquena Community Hospital
- Sharkey-Issaquena Community Hospital
- South Delta Dental Clinic, LLC
- Emma Tankson
- Total Body Rehabilitation, LLC.
- Villiage Pharmacy Inc
- Malinda Denise Washington
All providers in Rolling Fork, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.