NPI 1659466563

Mid Delta Family Practice Clinic

Organisation Legal Medicine Cleveland, MS

Practice location

Address: 403 S Davis Ave, Cleveland, MS 38732-3411
Phone: (662) 843-7299
Mailing address: PO Box 1040, Cleveland, MS 38732-1040

Authorised official

Name: Nate Brown
Title: Medical Director
Phone: (662) 843-7299

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 10093 (MS)

Other Legal Medicine providers in Mississippi →

Registry record

NPI: 1659466563
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.