OrganizationActive
Delta Kidney Alliance LLC
NPI 1992276851 · Nephrology Physician · Greenville, MS
Provider details
- NPI number
- 1992276851
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Hearn, Practice Manager(662) 335-4105
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1997 N Medical Park Dr
Greenville, MS 38703-7268
Phone: (662) 335-4105
Fax: (662) 378-2879
Approximate (ZIP-level) locationGet directions
Mailing address
1997 Medical Park Dr
Greenville, MS 38703-7268
Additional practice locations (3)
- 2729 S Highway 65 82Lake Village, AR 71653-6136Phone: (662) 335-4105Fax: (662) 378-2879
- 220 N Pearman AveCleveland, MS 38732-2634Phone: (662) 335-4105Fax: (662) 378-2879
- 20019 Highway 61Rolling Fork, MS 39159-5204Phone: (662) 335-4105Fax: (662) 378-2879
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2020-09-14
- Certified
- 2020-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.