HomeNPI Verification

NPI Verification

National Provider Identifier: 1629016399

Delta Convenient Care PC

Organization

Primary Specialty

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

All Specialties (5)

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Primary

Practice Address

17 CENTRE PLAZA DR

JACKSON, TN 383052862

Phone: 731-512-0104

NPI Enumeration Date

June 3, 2006

NPI Number

1629016399

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry