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

Delta State University

Organization Internal Medicine Physician · NPI 1730467648

Delta State University is an Internal Medicine Physician in Cleveland, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1003 W Sunflower Rd
Cleveland, MS 38733-0001
Phone: (662) 846-4280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1730467648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abby Havard — Assistant Ad/Health & Perfromance · (662) 846-4280
NPI enumeratedJuly 26, 2011
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address1003 W Sunflower Rd, Cleveland, MS 38733-0001

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