Vicksburg Nephrology LLC
NPI #1013337658 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1013337658
- Entity Type
- Organization
- Organization Name
- Vicksburg Nephrology LLC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 104 MCAULEY DR
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-2825
- Phone
- (601) 738-5549
Authorized Official
- Name
- MICHAEL L DAVIS, MD
- Title
- OWNER
- Phone
- (601) 738-5549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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