Delta Phoenix Family And Aesthetic Medicine

LBN: Delta Phoenix Medical Consulting
Delta Phoenix Family And Aesthetic Medicine is an health care organization with primary practice located at 940 Church Rd W Ste A2 , Southaven MS 38671-9611. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Delta Phoenix Medical Consulting can be contacted via phone (662) 231-8436, or through Stanford, Monica Joy via phone (662) 231-8436.

Contact Information

Primary practice address
940 Church Rd W Ste A2 Southaven MS 38671-9611
Phone: (662) 231-8436
Fax: (662) 536-6640
Website:
Map and Directions
Authorized official contact:
Name: Stanford, Monica Joy FNP-C
Phone: (662) 231-8436

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1174309819
LBN Legal business name Delta Phoenix Medical Consulting
DBA Doing business as Delta Phoenix Family And Aesthetic Medicine
Authorized official Stanford, Monica Joy FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Nov 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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