Provider Demographics
NPI:1811764475
Name:DELTA HILLS NEPHROLOGY CLINICS PLLC
Entity type:Organization
Organization Name:DELTA HILLS NEPHROLOGY CLINICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-924-5322
Mailing Address - Street 1:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39060-1261
Mailing Address - Country:US
Mailing Address - Phone:601-924-5322
Mailing Address - Fax:601-510-9110
Practice Address - Street 1:609 TALLAHATCHIE ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-2005
Practice Address - Country:US
Practice Address - Phone:601-924-5322
Practice Address - Fax:601-510-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty