Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Delta Convenient Care PC

Organization Family Medicine Physician · NPI 1629016399

Delta Convenient Care PC is a Family Medicine Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone: (731) 512-0104
Fax: (731) 512-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X (TN)
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1629016399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elie Hage-Korban — Authorized Official · (731) 512-0104
Other names Heart & Vascular Center Of West Tennessee
NPI enumeratedJune 3, 2006
Last updated in NPPESJune 5, 2014
Mailing address17 Centre Plaza Dr, Jackson, TN 38305-2862

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