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Delta Regional Anesthesiology Group

Anesthesiology in Greenville, MS. Organization (NPI-2).

NPI number1720059249
StatusActive
Last updated in NPPESApr 22, 2008

Details

NPI
1720059249
Entity type
Organization (NPI-2)
Legal business name
Delta Regional Anesthesiology Group
Organization subpart
Yes
Enumeration date
Feb 1, 2006
Last updated
Apr 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes
367500000X Nurse Anesthetist, Certified Registered––

Practice location

1400 E Union St
Greenville, MS 38703-3246

Phone 662-334-2005 · Fax 662-334-2189

Mailing address

Po Box 235019
Montgomery, AL 36123-5019

Phone 800-232-5703

Authorized official

Lee Ann Bowlin
Physician Recruitment Coordinator
6623342005

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