River City Family Medicine and Weight Management Clinic, LLC

NPI #1083345672 in Vicksburg, Mississippi

Provider Information

NPI Number: 1083345672
Entity Type: Organization
Organization Name: River City Family Medicine and Weight Management Clinic, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 23, 2022
Last Updated: Nov 29, 2022

Practice Location

Address: 3211 WISCONSIN AVE STE A
City: Vicksburg
State: Mississippi
ZIP Code: 39180-5635
Phone: (769) 203-0401

Authorized Official

Name: LAMEKA MILLER, NP
Title: FNP
Phone: (769) 203-0401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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