DELTA CLINICS P.L.C. NPI 1578004453

NPI Information

DELTA CLINICS, P.L.C. is a family nurse practitioner in Jackson, TN. DELTA CLINICS, P.L.C. NPI is 1578004453. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17 CENTRE PLAZA DR
JACKSON, TN
ZIP 38305-862
Phone: (731) 512-0104

The provider's authorized official is Elie E. Hage-korban .
The authorized official title is President and has the following contact phone number (731) 512-0104.

The CLIA number assigned to this NPI record is 44D1044475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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